title: Indications for in vitro fertilization at a public center for reproductive health in Campinas, Brazil.
abstract: OBJECTIVE
  To assess the sociodemographic profile and gynecologic and obstetric characteristics of women referred to a public reference center in Campinas, Brazil, for in vitro fertilization (IVF).
  
  
  METHODS
  Women referred between April 1, 2008, and October 31, 2009, were eligible for inclusion in a cross-sectional study. Participants were interviewed about sociodemographic characteristics, obstetric and gynecologic history, and etiologic factors resulting in the referral. Preliminary clinical examinations performed elsewhere were evaluated.
  
  
  RESULTS
  A total of 176 women were included, of whom 129 (73.3%) presented with tubal factor infertility. Tubal ligation had been performed in 66 (37.5%) women. Overall, 121 (68.8%) women were aged 30 years old or less, 110 (62.5%) had received more than 8 years of schooling, 123 (69.6%) had had infertility for up to 5 years, and 99 (56.3%) did not have any children. Moreover, 25 (14.2%) women had endometriosis and 25 (14.2%) had a male factor issue. A previous ectopic pregnancy was reported for 20 (11.4%) women and pelvic inflammatory disease for 49 (27.8%).
  
  
  CONCLUSIONS
  Tubal factor infertility was the most common indication for IVF. Preventive measures are required, in addition to policies that ensure access to high-complexity treatments in the public sector.
authors.affiliation: Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, São Paulo, Brazil.
authors.forename: Marcia
authors.initials: M
authors.lastname: Pantoja
authors.affiliation: Gynecological Division, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, São Paulo, Brazil. Electronic address: arlete@fcm.unicamp.br.
authors.forename: Arlete
authors.initials: A
authors.lastname: Fernandes
mesh_terms: D000022:Abortion, Spontaneous / Q000601:surgery; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D004107:Dilatation and Curettage; D004522:Educational Status; D004715:Endometriosis / Q000150:complications; D005184:Fallopian Tube Diseases / Q000150:complications*; D005260:Female; D005307:Fertilization in Vitro; D020073:Gravidity; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D007248:Infertility, Male / Q000150:complications; D008297:Male; D010298:Parity; D000292:Pelvic Inflammatory Disease / Q000150:complications; D011247:Pregnancy; D017150:Public Sector; D034121:Reproductive Health Services; D013246:Sterilization, Tubal / Q000009:adverse effects; D055815:Young Adult
keywords: In vitro fertilization (IVF); Infertility; Infertility factors; Tubal factor