XI Haitao,GE Hongshan,CHI Haihong, et al. Comparison of the pregnancy outcomes of frozen blastocyst transferred 4 hours after being thawed or 20 hours after being cultured overnight[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(10 ): 762-.
Abstract:Objective: To compare the pregnancy outcomes when frozen blastocyst was transferred 4 hours after being thawed or 20 hours after being cultured overnight. Methods: For the 5 days freezing thawing blastocysts transplantation cycle, all the cycles are divided into two groups based on different culture time before transfer, those blastocysts transferred 4 hours after being thawed were labeled as A group (n=157) and those cultured overnight before being transferred the next day were included in B group (n=227). The pregnancy outcomes were compared between the two groups. Results: The proportion of thawing cycles leading to no transfer did not differ between groups (1.2% versus 2.2% for A and B, respectively). However, the proportion of hatched blastocysts derived from B group was significantly higher than that from A group (41.7% versus 86.5%, respectively, P<0.001). All differences of the clinical pregnancy rate, implantation rate, miscarriage rate and multiple pregnancy rate between two groups have not yet reached the statistical significance. Conclusion: Overnight culture of thawed blastocyst before transfer does not affect the main pregnancy outcomes. For blastocyst thawing time, operators will have more choices.
[1] Absalan F, Ghannadi A, Kazerooni M. Reproductive outcome following thawed embryo transfer in management of ovarian hyperstimulation syndrome[J]. J Reprod Infertil, 2013, 14(3): 133-137.
[2] D’Angelo A. Ovarian hyperstimulation syndrome prevention strategies: cryopreservation of all embryos[J]. Semin Reprod Med, 2010, 28(6): 513-518.
[3] Garcia-Velasco JA, Simón C. Blastocyst transfer: does it really affect the outcome?[J]. Curr Opin Obstet Gynecol, 2001, 13(3): 299-304.
[4] Wong KM, Mastenbroek S, Repping S. Cryopreservation of human embryos and its contribution to in vitro fertilization success rates[J]. Fertil Steril, 2014, 102(1): 19-26.
[5] Kader AA, Choi A, Orief Y, et al. Factors affecting the outcome of human blastocyst vitrification[J]. Reprod Biol Endocrinol, 2009, 7(9): 99.
[6] Guerif F, Cadoret V, Poindron J, et al. Overnight incubation improves selection of frozen-thawed blastocysts for transfer: preliminary study using supernumerary embryos[J]. Theriogenology, 2003, 60(8): 1457-1466.
[7] 岳超敏, 方丛, 宫晓, 等. 囊胚解冻过夜培养后移植对妊娠结局的影响[J]. 中山大学学报(医学科学版), 2013, 34(3): 415-421.
[8] Gardner DK, Lane M, Stevens J, et al. Blastocyst score affects implantation and pregnancy outcome: towards a single blastocyst transfer[J]. Fertil Steril, 2000, 73(6): 1155-1158.
[9] Chimote NM, Chimote NN, Nath NM, et al. Transfer of spontaneously hatching or hatched blastocyst yields better pregnancy rates than expanded blastocyst transfer[J]. J Hum Reprod Sci, 2013, 6(3): 183-188.
[10] Van Landuyt L, Stoop D, Verheyen G, et al. Outcome of closed blastocyst vitrification in relation to blastocyst quality: evaluation of 759 warming cycles in a single-embryo transfer policy[J]. Hum Reprod, 2011, 26(3): 527-534.
[11] Leoni GG, Berlinguer F, Succu S, et al. A new selection criterion to assess good quality ovine blastocysts after vitrification and to predict their transfer into recipients[J]. Mol Reprod Dev, 2008, 75(2): 373-382.