Your Fertility Appointment Today to Start Your Family Tomorrow

near

You are here

Taxonomy term

Fertility Nurse of the Month: Traci Shahan

Albrecht Women’s Care, Englewood, CO

Albrecht Women’s Care Denver IVF, Englewood, CO

July 2012

Smart, compassionate and humble are the first three adjectives that come to mind to describe Traci Shahan, , RN, CNS, WHNP-BC, Doctor of Nursing. She describes herself “first and very staunchly so, an advocate for women.” Years of education behind her (just look at her credentials above), Shahan is a nurse practitioner with Albrecht Women’s Care Denver IVF in Englewood Colorado. FertilityAuthority is pleased to honor Traci Shahan as Nurse of the Month.

As a nurse practitioner, Shahan can make diagnoses, treat conditions and prescribe medications. “Sixty percent of what I have to do is with ultrasound, and my ultrasound skills are what I’m most proud of,” she says. “We do cool, cutting edge procedures with ultrasound.” For example, Shahan performs the FemVueTM hysterosalpingogram, which uses saline and air instead of x-ray dye (as in a traditional hysterosalpingogram or HSG) to image the fallopian tube and uterine cavity. This way, the patient does not have to have an outpatient procedure with a radiologist. “We do FemVue in office, but it takes really nuanced ultrasound skills to do it well. It’s essentially pulsed saline and air, and you can see it travel through the uterus and fallopian tubes. It gives you a very good view to make sure that the tubes are patent or open and that the uterine cavity looks normal,” Shahan explains. “I love it because I worry about having a lot of radiation to the ovaries."

The Impact of Comprehensive Chromosomal Screening on IVF Embryo Selection

A recent study looked at embryo selection in an IVF cycle based on two different criteria: embryo morphology and chromosomal makeup. Researchers looked at day 5 embryos (blastocysts) that were graded using standard morphology, then tested with comprehensive chromosomal screening (CCS). The study concluded that when embryos are selected to transfer based solely on morphology, in 41% of cases the embryos chosen will be aneuploid (abnormal).

Incidence of Chaotic Blastoycsts Increase as Women Age

A recent study revealed a “dramatic shift in the number of chromosomal errors in blastocysts from women 40 and older, as a result of severe chromosome instability.”

“When eggs get older the machinery to split the chromosomes gets more and more unstable and more and more errors occur even in the same embryo,” says Dr. William Schoolcraft, Founder and Medical Director of Colorado Center for Reproductive Medicine (CCRM). CCRM researchers analyzed 9,030 blastocysts (day 5 embryos) that were determined to be aneuploid following comprehensive chromosomal screening (CCS). The study showed that as women age fewer chromosomes have one error, and the likelihood increases of having chaotic blastocysts -- those with three or more errors.

Embryo Banking for Patients with Diminished Ovarian Reserve and Previous IVF Failure

A recently published study demonstrated that banking zygotes (one-cell, fertilized embryos) for comprehensive chromosomal screening (CCS) helps achieve ongoing clinical pregnancy in women with diminished ovarian reserve who have had previous IVF failure.

Is Embryo Biopsy Safe for IVF Babies?

In a retrospective cohort study, Colorado Center for Reproductive Medicine compared perinatal outcomes of singleton infants conceived with and without CCS to understand the impact of trophectoderm biopsy on the developmental future of resultant pregnancies. The study found that, “The majority of deliveries occurred at term and there was no difference in infant gender between groups. Mean gestational age and birth weight were comparable between the groups. In fact, the incidence of very preterm birth and large for gestational age was reduced in the CCS group.” The study concluded, “Babies born after CCS present with excellent perinatal growth and health outcomes.”

Is Embryo Biopsy Safe for IVF Babies?

In a retrospective cohort study, Colorado Center for Reproductive Medicine compared perinatal outcomes of singleton infants conceived with and without CCS to understand the impact of trophectoderm biopsy on the developmental future of resultant pregnancies. The study found that, “The majority of deliveries occurred at term and there was no difference in infant gender between groups. Mean gestational age and birth weight were comparable between the groups. In fact, the incidence of very preterm birth and large for gestational age was reduced in the CCS group.” The study concluded, “Babies born after CCS present with excellent perinatal growth and health outcomes.”

Study Shows Single Embryo Transfer Successful in IVF Patients up to 42 Using CCS

A Research Study conducted by the Colorado Center for Reproductive Medicine evaluated the efficacy of a single embryo transfer in IVF patients up to age 42, utilizing day 5 embryos (blastocysts) that had comprehensive chromosomal screening, to determine that they were chromosomally normal (euploid).

While the women of advanced maternal age (38 to 42) had a blastocyst aneuploidy rate of 62.4%, as compared to 36.7% in women 37 or younger, following a frozen transfer of a single euploid blastocyst embryo, live birth rates were almost identical in both age groups: 60 percent in women of advance maternal age; 64.6 percent in women 37 or younger.

What Is Genetic Testing with PGS?

Dr. Bruce Albrecht from Albrech Women's Care discusses what genetic testing is with PGS. PGS allows physicians to test the embryos for any genetic abnormalities before the embryos are implanted.

Video Transcript

Subjects: 
Regional Microsites: 

Coping with Infertility by Creating New Holiday Traditions

How New Traditions Can Help You Cope with Infertility During the Holidays

March 27, 2013

Not unlike the winter holidays, Easter and Passover are filled with family-focused events, traditions, memories, and a certain level of expectation to participate in family gatherings. When you’re coping with infertility during the holidays, you may not feel up to visiting with family and friends particularly if there will be children present or you anticipate hearing the dreaded “When are you going to have kids?” question.

Giuliana and Bill Rancic Gear Up for Baby #2

a blog by Claire, October 19, 2012

New parents, Giuliana and Bill Rancic, say they are ready for baby #2!

Just seven short weeks ago, they became parents via surrogate to a son Edward “Duke” Rancic, but the couple says they’ve been bitten by the baby bug once again!

Pages

Subscribe to Denver, CO