Study centers
This study was conducted at the fertility centers of Life International Hospital, Awka (LIHA), and Life Specialist Hospital Nnewi (LSHN), both in Anambra State, Nigeria. Both are multi-specialist hospitals (ObGyn, Surgery, Internal Medicine, and Paediatrics) with consultants in each of the specialties and 50-bed capacity (LIHA) and 30-bed capacity (LSHN), respectively. IVF services started at LSHN in August 2010 and LIHA in February 2018. Both centers offer assisted reproductive technology services and receive referrals from the South-East region and the rest of Nigeria, including Igbos in the diaspora.