Embryo morphology and live birth in the United States.

In vitro fertilization blastocyst stage cleavage stage embryo morphology live birth

Journal

F&S reports
ISSN: 2666-3341
Titre abrégé: F S Rep
Pays: United States
ID NLM: 101766618

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 06 01 2022
revised: 17 02 2022
accepted: 18 02 2022
entrez: 5 7 2022
pubmed: 6 7 2022
medline: 6 7 2022
Statut: epublish

Résumé

To determine the best-fit live birth rate per embryo based on maternal age, embryo stage, and embryo morphology. Retrospective data analysis. Fertility clinics. The patients included were treated with in vitro fertilization in the United States at clinics reporting data to the Society for Assisted Reproductive Technology Clinic Outcomes Reporting System. We analyzed live birth data of unbiopsied autologous cleavage and blastocyst stage embryos for cycles started from 2016 through 2018. The analysis included 223,377 embryo transfers with a total of 336,888 embryos. None. Live birth rate per embryo and rate of multiple gestations per pregnancy. At the mean maternal age of 34 years, fresh embryos produced live birth rates of 19%, 38%, 26%, and 27% for embryos aged 3, 5, 6, and 7 days, respectively. At the age 34 years, live birth rates for day 5 fresh embryos by overall morphology grade were 43% for good, 30% for fair, and 21% for poor. For the transfer of 2 fresh day 5 blastocysts, the rate of multiple gestations per pregnancy was 47% at 25 years old, 44% at 30 years old, 35% at 35 years old, and 23% at 40 years old. The analysis of pregnancy data in the Society for Assisted Reproductive Technology database can be used to calculate live birth rates per embryo based on maternal age, embryo age, and morphology. This information can be used for evidence-based decision making, quality control, and planning multicenter studies.

Identifiants

pubmed: 35789729
doi: 10.1016/j.xfre.2022.02.006
pii: S2666-3341(22)00015-0
pmc: PMC9250116
doi:

Types de publication

Journal Article

Langues

eng

Pagination

131-137

Informations de copyright

© 2022 The Author(s).

Références

J Assist Reprod Genet. 2013 Dec;30(12):1577-81
pubmed: 24114628
Fertil Steril. 2014 Mar;101(3):656-663.e1
pubmed: 24355045
Fertil Steril. 2020 Aug;114(2):338-345
pubmed: 32624214
Fertil Steril. 2014 Dec;102(6):1626-32.e1
pubmed: 25439804
Fertil Steril. 1983 Apr;39(4):468-71
pubmed: 6832402
Sci Rep. 2021 May 24;11(1):10800
pubmed: 34031492
Fertil Steril. 2021 Sep;116(3):651-654
pubmed: 34330423
J Assist Reprod Genet. 2013 Apr;30(4):563-7
pubmed: 23443889
Fertil Steril. 2011 May;95(6):1985-9
pubmed: 21411078
Hum Reprod. 2011 Dec;26(12):3289-96
pubmed: 21972253
Reprod Biomed Online. 2013 Oct;27(4):353-61
pubmed: 23953585
Hum Reprod. 2011 Jun;26(6):1270-83
pubmed: 21502182
JBRA Assist Reprod. 2021 Jul 21;25(3):373-382
pubmed: 33565291
Reprod Sci. 2021 Jan;28(1):43-51
pubmed: 32648121
Fertil Steril. 2013 Apr;99(5):1283-1289.e1
pubmed: 23312233
Fertil Steril. 2014 Nov;102(5):1338-44
pubmed: 25217871
J Assist Reprod Genet. 2010 Aug;27(8):437-9
pubmed: 20532975

Auteurs

Michael S Awadalla (MS)

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Jacqueline R Ho (JR)

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Lynda K McGinnis (LK)

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Ali Ahmady (A)

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Victoria K Cortessis (VK)

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Richard J Paulson (RJ)

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.
Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.

Classifications MeSH