Hospital clinical records

Journal article

from the pharmacy budget, using donor recruitment staff, or running a simple cash box system and asking recipients to contribute. In France central donor banks have been established, and samples are distributed to AID centres.sThe French system has the advantage that uniform standards may be applied, hazards monitored, and the number of pregnancies from any one donor restricted. In France one donor could not give samples to two different hospitals-as could happen in some of the larger British cities. There is no evidence of damage to the deoxyribonucleic acid or of teratogenicity from the use of donor or frozen donor semen"the main risk to the recipient seems to be transmissible disease. At present donated samples cannot be guaranteed to be free from venereal disease, for with current resources it is not practicable to test each sample. This would be another advantage of a centralised recruitment centre. Couples may now be told, then, that the rates of concep- tion from AID approach those from natural conception. Now that prognostic factors have been identified some couples may be selected for "do it yourself," low cost AID schemes so that medical efforts may be concentrated on those who fail and those who have poor prognostic factors. The place of AID in the management of male infertility may, however, require reappraisal if the preliminary results of in vitro fertilisation for male infertility are confirmed from life table methods of analysis.

Authors: Nicol, A; Sheppard, J

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: BMJ
• Journal: British medical journal (Clinical research ed.)
• Volume: 291
• Issue: 6496
• Pages: 614-615
• Publication date: 1985-09-07
• DOI: 10.1136/bmj.291.6496.614
• ISSN: 0267-0623
• Language: English
• Keywords: Medicine; History; Surgery; Medical record