Prolonged post-thaw culture of embryos does not improve outcomes of frozen human embryo transfer cycles: A prospective randomized study

Autor: Minh Tam Le, Van Trung Nguyen, Thanh Tung Nguyen, M Blake Evans, Thai Thanh Thi Nguyen, Tam An Thi Nguyen, Dinh Duong Le, Vu Quoc Huy Nguyen, Ngoc Thanh Cao, Micah J Hill
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Asian Pacific Journal of Reproduction, Vol 8, Iss 6, Pp 260-266 (2019)
Druh dokumentu: article
ISSN: 2305-0500
2305-0519
DOI: 10.4103/2305-0500.270103
Popis: Objective: To evaluate the impact of prolonged post-thaw embryos culture on pregnancy outcome during frozen embryo transfer cycles. Methods: This prospective cohort study evaluated 324 thaw transfer cycles with 819 embryos from 269 patients at the Center for Reproductive Endocrinology and Infertility of Hue University Hospital in Vietnam. These frozen embryo transfer cycles were divided into two groups at the time of thawing: the short culture group (2-hour post-thaw culture) and the overnight culture group (overnight culture for 18 h) before the embryo was transferred into the uterus. The rates of embryo intact, grade A embryo at frozen and transfer time and continuing cleavage were recorded. The clinical outcomes including serum beta-human chorionic gonadotropin, clinical pregnancy and implantation rate were evaluated after 14 days, 4 weeks, 6 weeks, respectively, after embryo transfer. Results: Human chorionic gonadotropin positive occurred in 39.5% of patients in the short culture group compared to 25.9% in the overnight culture group with risk difference (RD)=13.6%, relative risk (RR)=1.343, 95% confidence interval (CI) 1.085-1.663, P35 years) and women who received 3 embryos, pregnancy outcomes were found to be significantly (P
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