Lim WW Author

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Kotter's Eight-Step Change Model: One Centre's Experience for Transition to the GnRH Antagonist Protocol

Author(s):

Tan SQ, Lim WW, Liu SL, Phoon WLJ, Tan TY, Viardot V, Chan J, Nadarajah S and Tan HH

Background: Gonadotropin releasing hormone (GnRH) agonist cycle was the traditional method of ovarian stimulation at KK Women’s and Children’s Hospital IVF Centre. This long cycle involved many injections, with a poor side effect profile. The GnRH antagonist cycle was introduced in year 2000, with fewer injections per cycle and better side effect profile.
Aim: Our department aims to encourage transition from the GnRH agonist cycle to GnRH antagonist cycle, with complete changeover by 2013. Methods: The transformation process was organized according to Kotter’s Eight-Step Change Model from the first half of 2012.
Results: This transition led to a five times reduction in the n... view more»

DOI: 10.4172/2325-9795.1000246

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