P. Shrivastav et al., DAY-CARE MANAGEMENT OF SEVERE OVARIAN HYPERSTIMULATION SYNDROME AVOIDS HOSPITALIZATION AND MORBIDITY, Human reproduction, 9(5), 1994, pp. 812-814
Severe ovarian hyperstimulation syndrome (OHSS) is a dreaded complicat
ion of ovulation induction for assisted reproduction treatment. In the
past, conservative management has been recommended and this leads to
prolonged hospitalization. A total of 18 patients who developed severe
OHSS were managed according to two protocols. The first group (n = 8)
was managed conservatively with hospitalization, i.v. hydration and s
upportive therapy. The average duration of hospitalization was 11 days
and the patients were uncomfortable throughout. A second group (n = 1
0) was managed on an out-patient basis with early, ultrasound-guided t
rans-abdominal paracentesis. While the patient was hydrated intravenou
sly, 1-3 l of fluid were removed over 2-3 h. The duration of hospitali
zation was between 6 and 7 h and no in-patient stay was required. Prom
pt relief of symptoms was reported and none of the patients required r
e-tapping. Pregnancy was achieved in 68% of all patients. Day care man
agement with easy abdominal paracentesis was found to be simple, safe
and effective; patients found it more acceptable as it avoided in-pati
ent hospitalization.