Evidence map›Paper›PMID 36600221›Full record

ArticleBMC pregnancy and childbirth2023

Effect of retained embryos on pregnancy outcomes of in vitro fertilization: a matched retrospective cohort study.

Hui Xia Zhang, Fei Li, Haixia Jin, Wen Yan Song, Yingchun Su, Gang Li

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Hui Xia ZhangCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fei LiCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Haixia JinCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Wen Yan SongCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yingchun SuCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Gang LiCentre for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. lgvigor@126.com.
First Affiliated Hospital of Zhengzhou University · CN

Funding

the Key Research Projects of Henan Higher Education Institutions 22A320020the Key Science and Technology Foundation of Henan Province SBGJ202002048the Youth and Middle-aged Healthy, Scientific and Technological Innovation Leading Talents Program of Henan Province YXKC2021015
6 · The paper itself

Abstract

objectivesTo explore the incidence of retained embryos (REs) in embryo transfer (ET) cycles and its effects on pregnancy outcomes in women undergoing in vitro fertilization (IVF).

methodsThis was a matched retrospective cohort study involving 29,160 ET cycles conducted from March 2016 to February 2021, in which ET cycles without RE were matched to the RE group at a 2:1 ratio. Clinical pregnancy, implantation, miscarriage, and live birth rates were compared between the with-RE and without-RE groups.

resultsOur study showed that the overall incidence of REs was 0.33% (95/29,160). There was a statistically significant difference in RE rate among the operators (P < 0.001), suggesting that the embryo retention rate may be affected by the individual operator. A total of 95 repeated ET cycles due to RE were included in the study group, and 190 ET cycles without RE were matched to the study group (1:2). There were no significant differences between the RE and matched groups in terms of implantation rate (35.6 vs. 38.0%; P = 0.608), clinical pregnancy rate (47.4 vs. 54.7%; P = 0.240), biochemical pregnancy rate (5.3 vs. 4.7%; P = 0.846), miscarriage rate (11.1 vs. 9.6%; P = 0.781), ectopic pregnancy rate (2.2 vs. 1.9%; P = 1.000) or live birth rate (41.1 vs. 48.9%; P = 0.208).

conclusionsThe present findings demonstrated that immediate retransfer of REs did not significantly affect IVF outcomes, which may provide counselling information for patients when REs are identified and ET is reattempted. The incidence of REs was associated with the operator who expelled the embryos from the catheter. Attention to detail and frequent assessment of the operator's technique may facilitate avoidance of embryo retention.

Indexed as

Abortion, SpontaneousPregnancy OutcomeEmbryo TransferFemaleFertilization in VitroHumansLive BirthPregnancyPregnancy RateRetrospective StudiesClinical pregnancy rateEmbryo transferLive birth rateOperatorRetained embryo

Identifiers

PMID36600221
PMCPMC9811760
OpenAlexW4313544643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.