Comparison of the obstetric outcome between fresh and vitrified-warmed blastocyst transfer
Author | Hsing-Hua Lai, Huai-Ling Wang, Wen-Yi Chiang, Shih-Chieh Huang, Ya-Hui Hsu |
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Editor | Ya-Pei Pong |
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Seminar name | 2011 22th AOCOG |
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Keyword | vitrification, blastocyst culture, pregnancy rate, live birth rate |
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Objectives
To evaluate the effects of vitrification and embryo development on implantation rate, clinical and ongoing pregnancy rates along with live birth rate.
Methods
- A randomized, retrospective study
- Fresh and vitrified-warmed blastocyst transfer (BT)
- Statistical methods: Student t test and Yate’s continuity corrected χ-square
- Definition:
- Biochemical pregnancy: blood β-hCG > 5mIU/mL
- Clinical pregnancy: gestational sac observed under ultrasound at 6-8 weeks of pregnancy
- Ongoing pregnancy: pregnant after 5 months
- Implantation rate: gestational sac or fetal heart beat (FHB) per transferred embryo
Conclusions
Our preliminary data suggested that:
1. Vitrification had no obvious adverse effect on embryos. In fact, it could be beneficial to increase cumulative pregnancy rate.
2. The implantation rate and pregnancy rate after D6 BT were both lower than D5 BT, implying the importance of embryo growth rate.