IMR Press / CEOG / Volume 41 / Issue 6 / DOI: 10.12891/ceog18952014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Can combination of Day 3 and Day 5 embryo morphology be useful to predict pregnancy in in-vitro fertilization cycles?
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1 Department of Obstetrics and Gynecology, Elazıg Training and Research Hospital, Elâzıg
2 Department of Obstetrics and Gynecology, Afyon State Hospital, Afyon
3 Department of Obstetrics and Gynecology, Hacettepe University, Ankara (Turkey)
Clin. Exp. Obstet. Gynecol. 2014, 41(6), 685–688; https://doi.org/10.12891/ceog18952014
Published: 10 December 2014
Abstract

Objective: To determine whether embryos having all top qualified both on Day 3 and Day 5 have higher pregnancy rates than the others. Materials and Methods: The study included 143 consecutive cycles were recruited in which Day 5 embryo transfer was available. Cleavage stage embryos were graded according to 1 to 4 scoring system, based on fragmentation, cell symmetry, and blastomere number. Among cleavage stage embryos, Grade 1 and Grade 2a/2b were further stratified as ‘top quality’ embryos to be transferred, others were defined as control group. Blastocyst stage embryos were graded from 1 to 6 according to intracellular mass (ICM) and trophectoderm (TE). Day 5 fresh embryo transfer was performed in all cases using soft catheter. Positive pregnancy test was accepted when serum beta-human chorionic gonadotrophin (ß-hCG) exceeded 20 mIU/ml. Results: On the cleavage stage, top quality embryo was available in 47 of 143(32.9%) cases. Of the 47 embryos, the number of cases reaching any Grade 4, 3 quality, and early blastocyst on Day 5 were 22 (46.8%), 15 (31.9%), and 10 (21.3%). The respective figures on the control group (n=96) were 33 (34.4%), 37 (38.5%), and 26 (27.1%) (p > 0.05). The pregnancy rates were also similar. Conclusion: All top qualified embryos both on Day 3 and 5 did not reveal higher pregnancy rate than the others.
Keywords
Embryo morphology
Blastocyst
In vitro fertilization
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