Background: This retrospective cohort study
aims to determine the relationship between morphologic grading of day 1
or 3 embryos and euploid blastocyst rate in the preimplantation genetic testing
cycle. Methods: 2001 two pronucleus (2PN) embryos were obtained from 219
patients in our in vitro fertilization center on day 1. Embryo
morphologic grading was conducted on day 1 and day 3. A blastocyst trophectoderm
biopsy was conducted on day 5 or day 6, followed by aneuploid screening using
next a generation sequencing platform. Chi-square test, Student’s
t-tests and Mann-Whitney U tests were used to compare
categorical and continuous variables between the cohorts. Logistic regression
analysis for euploidy was conducted to determine the association of embryo
morphological grading with blastocyst euploidy. Results: 811 blastocysts
selected from 2001 2PN embryos were appropriate for biopsy and DNA from all
biopsies were successfully amplified for aneuploidy screening. The day 1
pronuclear pattern showed a weak, non-statistically significant association with
euploid blastocyst (p
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Open Access
Original Research
Day 3 Embryo Morphology is a Significant Predictor of Blastocyst Euploidy
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1
Center of Reproductive Medicine, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, 510515 Guangzhou, Guangdong, China
*Correspondence: chzhh2003@126.com (Zhiheng Chen)
Clin. Exp. Obstet. Gynecol. 2023, 50(11), 230;
https://doi.org/10.31083/j.ceog5011230
Submitted: 9 March 2023 | Revised: 12 July 2023 | Accepted: 7 August 2023 | Published: 21 November 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract
Keywords
embryo morphology
PGT
euploid blastocyst
Funding
YIP-046/Guangzhou Women and Children’s Medical Center
Figures
Fig. 1.