O-01 . Psychological Intervention in the Oocyte Pick-up Room and Recovery Room Environments in Assisted Reproduction : new listening accounts

s of the 23rd Annual Congress of the SBRA, Curitiba/PR, 2019 JBRA Assisted Reproduction 2019;23(3):298-300 doi: 10.5935/1518-0557.20190051 O-01. Psychological Intervention in the Oocyte Pick-up Room and Recovery Room Environments in Assisted Reproduction: new listening accounts M.C.G. Gusmão1, L.M. Teixeira2, A.C.A. Mancebo1, M.M. de Souza1, R.A. Antunes1, M.C.B de Souza1 1Fertipraxis RJ, Brazil 2Fertipraxis/Hospital Federal da Lagoa RJ, Brazil Objective: This study seeks to identify the role and possible participation of a psychologist/psychoanalyst inside an Oocyte Pick-up Room and a Recovery Room (OPR-RR) in an Assisted Reproduction clinic and the implications on patients and team. Methods: Prospective study of psychological support during the procedures from September 2014 to December 2018. Most visits took place during oocyte retrievals, for either IVF/ICSI or gamete freezing. Results: Of the total of 2,343 cases, the psychologist was present in 965 of them (41%), during oocytes retrievals, with available professionals in 59% of the times (722 cases). The embryo transfers (1,011) had psychological assistance in 20% of the times (218 cases). The intrauterine insemination cases were excluded for not happening in a surgical environment. The recovery room was identified as one of the spaces for welcoming and listening to anxieties, desires, projects, worries, fears, frustrations, joys and expectations of those who come to the clinic seeking the desire to gestate. The patients' talks, collected in observations transcribed from what was heard, with dates and types of procedures, were discussed with either the team or the assistant physician. The team stands positively in the presence of a psychologist/psychoanalyst, who brings new perceptions and the development of the whole art of listening, for all involved. Conclusion: The presence of a psychologist/psychoanalyst in the Oocyte Pick-up Room and the Recovery Room in an Assisted Reproduction clinic means an opportunity to listen to patients' emotions, providing well being to patients and echoing in the teamwork relationships. O-02. Priorities for Research in Infertility and Assisted Reproductive Technology Treatments a James Lind Alliance Priority Setting Partnership with Brazilian Patients A.R. Lorenzon1, D. Garcia2, L. Silva2, C.A. de Oliveira3, M.B. Chehin1, R.M. Marinho3,4, J.P.J. Caetano3, Rita Vassena2, E.L.A. da Motta1,5 1Huntington Medicina Reprodutiva, São Paulo, SP Brazil 2Clinica Eugin, Barcelona, Spain 3Pró-Criar Medicina Reprodutiva, Belo Horizonte, MG Brazil 4Faculdade Ciências Médicas Minas Gerais, Belo Horizonte, MG, Brazil. 5Departmento de Ginecologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil Objective: To identify the main research interests of Brazilian patients in the field of infertility and assisted reproductive technology (ART) treatments. Methods: Prospective, Brazilian, multicenter, cross-sectional study. Patients attending five fertility centers from the Huntington Group between October and December 2018 were invited to participate in the research protocol, which consisted of answering an anonymous survey online. Two hundred twenty-seven patients signed the consent form and received the survey link. The survey was elaborated on base in the James Lind Alliance Priority Setting Partnership protocol. The main topics approached in the survey related to infertility were somatic and psychological effects of treatments, prevention, assisted reproductive treatment (medications and techniques), success rates, risks, and emotional aspects. Results: The response rate (RR) was 47.58% (108 patients, 88 women RR 51.46% and 20 men RR 35.71%). The mean age of patients was 36.5 years (SD 4.6). The top ten research priorities raised were 1) shortand long-term side effects of treatments; 2) how to cope with infertility; 3) risks associated with ART; 4) success rates in ART; 5) impact of diet on ART and fertility; 6) healthy habits; 7) alternative therapies; 8) impact of exercise on fertility and ART success; 9) oocyte quality and ovarian reserve; and 10) genetic or hereditary causes. Conclusion: To better assist needs and develop patient-centered care in the field of infertility and ART treatments, clinicians, healthcare and the scientific community should identify patient's uncertainties and priorities and make efforts to address these questions. O-03. Granulocyte colony stimulating factor (G-CSF) role on women submitted to in vitro fertilization associated with thin endometrium: systematic review M.N.C. Rocha1, R.S. Florêncio1, R.R.F. Alves1 1 Humana Medicina Reprodutiva. Goiânia, GO, Brazil Objective: To provide evidence available in the literature on the role of granulocyte colony stimulating factor (G-CSF) in women submitted to in vitro fertilization with repeated implantation failure associated with thin endometrium. Methods: Systematic review of the use of G-CSF as part of assisted reproduction techniques in women with repeated failures of embryo implantation associated with thin endometrium. The research was carried out in the PubMed, BIREME and Elsevier database from 2008 to 2018, in English, Spanish and Portuguese. 299 Abstracts of the 23rd Annual Congress of the SBRA, Curitiba/PR, 2019 JBRA Assist. Reprod. | v.23 | no3 | Apr-May-Jun/ 2019 O-04. Predictive factors for successful pregnancy in an egg-sharing donation program D.P.A.F. Braga1,2, A.S. Setti1,2, A. Iaconelli Jr.1,2, E. Borges Jr.1,2 1Fertility Medical GroupSao Paulo SP, Brazil 2Instituto Sapientiae Centro de Estudos e Pesquisa em Reprodução AssistidaSao Paulo SP, Brazil Objective: To investigate the predictive factors for successful pregnancy in oocyte recipient ICSI cycles in an egg-sharing donation program. Methods: Analysed data were obtained via chart review of 1505 vitrified oocytes donated from 268 patients to 225 oocyte recipients, undergoing 307 ICSI cycles. Patients were participating in an egg-sharing donation program between January 2015 and May 2017. Adjusted generalised linear models were used to investigate the impact of oocyte donor and recipient characteristics on recipients' pregnancy achievement. Results: Implantation rate in the oocyte donor was highly correlated with pregnancy achievement in the oocyte recipient's cycles (ExpB: 1.181, CI: 1.138-1.226, p < 0.001). The ROC curve analysis demonstrated that the implantation rate in the oocyte donor has a strong predictive value for pregnancy success in the oocyte recipient (area under the curve: 0.98, CI: 0.95-0.99, p < 0.001). Pregnancy in oocyte donors and recipients were highly associated (ExpB: 54.6, CI: 28.1-105.8, p < 0.001), regardless of the oocyte recipient's age. In oocyte recipients, the high-quality embryos rates on days 2 (ExpB: 3.397, CI: 1.635-7.054, p = 0.001) and 3 (ExpB: 6.629, CI: 1.185-37.092, p = 0.031), and blastocyst development rates (ExpB: 2.331, CI: 1.0865.001, p = 0.030) were positively associated with pregnancy outcome. Conclusion: The strong association in pregnancy success between donors and recipients, and the lack of correlation between donor characteristics and cycles' outcomes, demonstrate the power of oocyte quality on the success of ICSI treatment. O-05. Correlation between morphokinetics parameters and standard morphological evaluation: what can we predict from early embryo development? A time-lapse system experience with 2085 morphologic grading blastocysts C. Jacobs1, M. Nicolielo1, R. Erberelli1, F. Mendez1, M. Fanelli1, L. Cremonesi1, B. Aiello1, A.R. Lorenzon1 1Huntington Medicina Reprodutiva, São Paulo, SP, Brazil Objective: To evaluate the relation between morphology grading and morphokinetics parameters in blastocyst stage embryos cultured in a time-lapse system. Methods: This is a retrospective cohort study from our clinic database. Patients undergoing assisted reproduction treatment in autologous oocyte cycles between October 2017 and May 2019 using a time-lapse system were included in this study. Embryos were morphologically graded according to Gardner and Schoolcraft criteria and morphokinetic parameters were annotated. Results: Our results indicated that the time of pronucleous fading (tPNFf), cleavage to two-(t2), four-(t4), eight-cells (t8) and blastulation (tB) are significantly different according to the morfological quality of the blastocyst formed. Already in the early development stage, the tPNf, t2 and t4 differ good (AA, AB, BA, BB) from poor (CC) quality potential blastocysts. Time of cleavage to 8-cells sort embryos that will turn into AA morfology blastocyst from the ones with grade BB and ultimatly, earlier tB correlates with the best quality embryos (AA, AB, BA). Conclusion: Our results showed that the first kinetic parameters (tPNf, t2 and t4) may be used to distinguish top-graded from low-graded blastocysts. Between top-graded blastocysts, t8 was predictable to differ BB blastocysts from AA grading. And finally, tB can also be used to differentiate BB blastocyst from AA, AB and BA grading. These time-points parameters may be considered to be applied in a laboratory routine, even in centers without time-lapse machines. O-06. Cancer fertility preservation: a report from a Brazilian social program C. Berton1, C. Brogliato1, I. Yoshida1, L. Vellez1, C. Suganuma1, C. Barbosa1, E. Cordts1 1Instituto Idéia Fértil de Saúde Reprodutiva, Santo André/ SP, Brasil Objective: Present clinical and laboratory data of a Brazilian social program for cancer fertility preservation. Methods: A descriptive observational study was conducted between July 2011 and December 2018. 246 patients Results: All included studies used intrauterine G-CSF. The increase in endometrial thickness was verified in eight of the 10 included studies. Of these, the implantation rate improved significantly in two studies, but the gestation rate in only one. The highest rates of implantation (32%) and pregnancy (48%) were observed in a non-randomized cli