Single blastocyst transfer: a prospective randomized trial

被引:341
作者
Gardner, DK [1 ]
Surrey, E [1 ]
Minjarez, D [1 ]
Leitz, A [1 ]
Stevens, J [1 ]
Schoolcraft, WB [1 ]
机构
[1] Colorado Ctr Reprod Med, Englewood, CO 80110 USA
关键词
blastocyst; cryopreservation; culture; embryo; IVF; viability;
D O I
10.1016/j.fertnstert.2003.07.023
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determine the efficacy of single blastocyst transfer. Design: Prospective randomized trial. Setting: Private assisted reproductive technology unit. Patient(s): Forty-eight women undergoing IVF-embryo transfer with day 3 FSH less than or equal to 10 mIU/mL and at least 10 follicles >12 mm in diameter on day of hCG administration. Intervention(s): Embryo culture to the blastocyst stage in sequential media G1/G2 followed by transfer of either one or two blastocysts. Main Outcome Measure(s): Implantation rate, ongoing pregnancy rate, and twinning. Result(s): The transfer of a single blastocyst resulted in an implantation and ongoing pregnancy rate of 60.9% with no twins. The transfer of two blastocysts resulted in an implantation rate of 56%, an ongoing pregnancy rate of 76% with a 47.4% incidence of twins. Conclusion(s): Single blastocyst transfer is an effective method of eliminating multiple births while maintaining high pregnancy rates in this selected group of patients.
引用
收藏
页码:551 / 555
页数:5
相关论文
共 28 条
[1]  
*CDCP, 2003, SOC ASS REPR TECHN R
[2]   Cost-effectiveness of in vitro fertilization [J].
Collins, J .
SEMINARS IN REPRODUCTIVE MEDICINE, 2001, 19 (03) :279-289
[3]   Day 5 versus day 3 embryo transfer: a controlled randomized trial [J].
Coskun, S ;
Hollanders, J ;
Al-Hassan, S ;
Al-Sufyan, H ;
Al-Mayman, H ;
Jaroudi, K .
HUMAN REPRODUCTION, 2000, 15 (09) :1947-1952
[4]   A health-economic decision-analytic model comparing double with single embryo transfer in IVF/ICSI [J].
De Sutter, P ;
Gerris, J ;
Dhont, M .
HUMAN REPRODUCTION, 2002, 17 (11) :2891-2896
[5]   Blastocyst transfer, decreases multiple pregnancy rates in in vitro fertilization cycles: a randomized controlled trial [J].
Frattarelli, JL ;
Leondires, MP ;
McKeeby, JL ;
Miller, BT ;
Segars, JH .
FERTILITY AND STERILITY, 2003, 79 (01) :228-230
[6]  
Gardner David K, 2003, Reprod Biomed Online, V6, P470
[7]   Changing the start temperature and cooling rate in a slow-freezing protocol increases human blastocyst viability [J].
Gardner, DK ;
Lane, M ;
Stevens, J ;
Schoolcraft, WB .
FERTILITY AND STERILITY, 2003, 79 (02) :407-410
[8]   A prospective randomized trial of blastocyst culture and transfer in in-vitro fertilization [J].
Gardner, DK ;
Schoolcraft, WB ;
Wagley, L ;
Schlenker, T ;
Stevens, J ;
Hesla, J .
HUMAN REPRODUCTION, 1998, 13 (12) :3434-3440
[9]  
Gardner DK, 1999, TOWARDS REPRODUCTIVE CERTAINTY, P378
[10]  
GARDNER DK, 2001, TXB ASSISTED REPROD, P203