The concept of reproductive center
Reproduction is the eternal theme of human survival. The normal occurrence, maturation, transportation, combination, planting and growth of gametes are the material basis for human reproduction. Due to the deterioration of the human living environment in modern times, changes in the rhythm and style of life, the postponement of the age of marriage and childbirth, and the spread of various infectious diseases, many couples face difficulties in having children. According to the existing demographic and epidemiological data, 8%-15% of the surveyed people of childbearing age have a desire to have children but cannot conceive.
The Reproductive Medicine Center is a medical facility that uses assisted reproductive technology (ART) to treat infertility and must be strictly controlled. Therefore, the overall layout needs to be divided into independent areas. In order to avoid interference from other departments, privacy needs to be considered in the architectural design. It is important to provide patients with a professional, comfortable and safe healing environment.
Equipement configuration
1.One set of standard microscopic operating system (workstation, micromanipulation, laser system for assisted hatching)
2.One set of ovum collection and freezing operation workstation
3.One batch of incubators (liquid preparation + main incubation)
4.A batch of pipettes
5.(1 set) Laboratory air filtration and disinfection machine
6.(2 sets) Constant temperature test tube rack
7.(1 set) Quality control equipment
8.A batch of freezer and liquid nitrogen storage room equipment
9.A batch of sperm processing room equipment
10.A batch of ovum retrieval room + transplantation room equipment
11.A batch of auxiliary equipment
The role of setting up a reproductive center
It is mainly used to treat infertility, prevent the occurrence of genetic diseases, and provide reproductive insurance. At the same time, corresponding reproductive medicine research can also be carried out, such as research on free sperm donors, research on refrigeration technology, etc. The specific functions of the reproductive center are as follows.
1. Provide reproductive insurance
Many men may lose their reproductive function due to various reasons, such as trauma, swelling, special occupation or age, etc. Therefore, in order to prevent possible situations in the future, it is necessary to freeze and preserve semen in advance for future use.
2. Conducive to eugenics
At present, there are more than 4,000 genetic diseases that have been discovered in the world. Existing medical technology is temporarily unable to allow couples with such genes to have healthy children. However, if healthy sperm is selected for conception, the father’s disease can be eliminated. It is possible to produce healthy offspring without genetic hazards.
3. Solve fertility problems
Due to congenital or acquired reasons, many people lose their testicular spermatogenic function and cannot recover it. Using sperm from a reproductive center is the best choice, so that infertile families can have a child who is biologically related to the woman.
In addition, the establishment of a reproductive center has many other functions, such as helping to carry out basic research on male reproduction and exploring new contraceptive methods. Before men undergo vasectomy, testicular tumor removal, radiation and chemotherapy, some sperm can be frozen and stored to prevent the death of their children and avoid the worry of being unable to reproduce again.
Construction requirements for reproductive centers
1. Independent setting of the clinic
① To meet patients’ secondary examination needs, the clinic should maintain good contact with the laboratory department and B-ultrasound room of the medical technology department.
② According to the setting conditions of the obstetrics and gynecology department, the post-ovulation ward should be set up reasonably.
③If the construction scale of the hospital is relatively large, the clinic should maintain close contact with other departments, and scientifically set up independent clinics based on the locations of other departments.
2. Ensure privacy requirements
Since infertility is a relatively special disease, the treatment of infertility is not the disease itself. Only by improving the reproductive function of infertile couples can the purpose of treatment be truly achieved. Therefore, reproductive medicine in hospitals is When designing the center, designers should set up the reproductive medicine center independently to truly meet the requirements of ensuring patient privacy, effectively reduce the interference of flow of people in various departments to patients, and try to provide patients with a comfortable and safe medical environment.
3. External environmental requirements
A clean external environment allows patients to better cooperate with treatment. The external environment of reproductive medicine centers in modern hospitals should be kept clean and tidy, and air-conditioning filters should be installed indoors to ensure good air quality and appropriate temperature inside the clinic, providing patients with a warm and comfortable medical environment. During the site selection process, chemical radiation sources should be avoided as much as possible to reduce the impact of chemical radiation sources on embryos.
Space composition and configuration
The Reproductive Medicine Center is mainly composed of four parts: clinical reproductive medicine, in vitro fertilization laboratory, artificial insemination laboratory and office assistance.
1.Clinical reproductive medicine
Reproductive medicine clinic is the main component of the Reproductive Medicine Center and plays the role of an outpatient clinic. A large number of patients, companions, consultants, medical staff, etc. are concentrated here. It is also the earliest and largest contact with patients, and it diagnoses and treats a large number of patients. place. It should be placed at the entrance to facilitate the flow of adults.
The main functional rooms include waiting area, nurse workstation, consulting room, treatment room, injection room, ultrasound room, sperm collection room, laboratory, information archive room, medical staff locker room and bathroom, patient bathroom and other auxiliary rooms. The arrangement of the rooms should be coordinated with the medical treatment procedures to ensure a smooth sequence and reduce relocation. It is best to follow the principle of shortest average distance on the streamlines to separate doctors and patients.
a.Clinic: The clinics in the reproductive medicine center of the hospital are mainly divided into andrology clinics and gynecology clinics. The clinics are mainly used by doctors to ask patients about their past illnesses, ensure various routine examinations, etc. The clinic should be close to the waiting area to reduce patients’ walking time. Usually, gynecological clinics require more subjects to be examined, so the number of gynecological clinics must also be increased. The interior configuration of the clinic: desk, examination bed, examination lamp, wash basin, etc.
b.Ultrasound room: The ultrasound room is a department set up by the hospital that specializes in ultrasonic examinations. It is an important auxiliary examination department of the hospital. Basically, most clinical visceral tissue diseases require ultrasound to cooperate with the examination. Medical ultrasonic examination is when ultrasonic waves are emitted into the human body. Doctors can identify parts of the internal organs through the waveforms, curves, or image characteristics reflected by the instrument. In addition, combined with anatomical knowledge, normal and pathological changes, it is possible to diagnose whether the examined organ is diseased. The internal configuration of the ultrasound room: ultrasound trolley, ultrasound diagnosis and treatment bed, ultrasound machine, computer, printer, office desk and chairs.
2.In vitro fertilization laboratory
The in vitro fertilization laboratory is an important part of the Reproductive Medicine Center and is also the part with the highest level of cleanliness. The entry and exit of medical staff and patients must go through mandatory hygiene procedures. A certain distance should be set up from the clinic to avoid interference from a large number of people in the outpatient clinic.
The main functional rooms include egg retrieval room, embryo culture room, embryo transfer room, sperm retrieval room and semen processing room.
a.Egg retrieval room: used for transvaginal egg retrieval under the guidance of B-ultrasound, with an area of not less than 25 square meters and an environment that meets the Ministry of Health’s Class II standards for medical facilities.
b.Embryo culture room: The use area is not less than 30 square meters and has a buffer zone. The environment complies with the Ministry of Health’s Class II standards for medical facilities, and it is recommended to set up an air purification laminar flow room. Among them, the embryo operation area must reach the level 100 standard.
c.Embryo transfer room: The usable area is not less than 15 square meters, and the environment complies with the Ministry of Health’s Class II standards for medical facilities.
d.The semen collection room is adjacent to the semen processing room, with a usable area of no less than 5 square meters and hand-washing equipment.
e. Semen processing room: The use area is not less than 10 square meters, adjacent to the semen collection room, with a transfer window to facilitate the transfer of semen samples.
3.Artificial insemination laboratory
The main functional rooms of the artificial insemination laboratory include the semen collection room, the semen processing room, the artificial insemination room and the artificial insemination laboratory.
a. Artificial insemination room: the usage area is not less than 20 square meters, and the environment meets the Ministry of Health’s Class II standards for medical facilities.
b. Artificial insemination laboratory: the usage area is not less than 20 square meters, and the environment complies with the Ministry of Health’s Class II standards for medical facilities.
c. The semen collection room is adjacent to the semen processing room, with a usable area of no less than 5 square meters and hand-washing equipment.
d. Semen processing room: The use area is not less than 10 square meters, adjacent to the semen collection room, with a transfer window to facilitate the transfer of semen samples.
Other functional spaces in the artificial insemination laboratory can be combined with in vitro fertilization laboratory cloth, such as shared patient passages, locker rooms, postoperative lounges, etc.
4.Office auxiliary room
The office auxiliary room is mainly used for auxiliary office work and rest for medical staff. It is an important part of the humanized space for medical staff, because they stay the longest and use the space most frequently. There are mainly functional rooms such as offices, duty rooms, lounges, and bathrooms. It can be set up as an independent area or combined with other functional area settings.
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