ArticleFrontiers in public health2026
Treatment decisions, not patient demographics, predict a positive pregnancy test after autologous IVF: a retrospective cohort study from northern India.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Infertility affects about one in six people worldwide over a lifetime, and Methods: We conducted a retrospective cohort study of 288 women who underwent IVF at a private fertility centre in Faridabad, Haryana, between April 2023 and October 2024. One record was analysed per woman, taken from her most recent cycle. The outcome was a positive serum beta-human chorionic gonadotropin (beta-hCG) test, the last outcome routinely documented at the centre. Donor-oocyte (recipient) cycles were analysed separately from autologous cycles, because success in a donor cycle depends on the donor rather than on the patient. Categorical associations were tested using Fisher's exact test. Independent predictors were identified using multivariable binomial logistic regression. Results: Seventy-seven cycles (26.7%) used donor oocytes and 211 (73.3%) were autologous. The positive beta-hCG rate was 70.6% in autologous cycles and 54.5% in donor cycles ( Conclusion: In autologous cycles at this centre, treatment decisions rather than patient demographics predicted a positive pregnancy test. The cohort was socioeconomically narrow and drawn from a single private centre. The absence of demographic effects should therefore not be read as evidence that social position does not matter. Social position might operate earlier, in determining who reaches a fertility centre at all.
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