Evidence map›Paper›PMID 36786949›Full record

ArticleJournal of assisted reproduction and genetics2023

Comparison of pregnancy outcomes of cervical mucus washing with physiologic saline solution or G-Rinse medium solution, in elective single-embryo transfers.

Turkan Gursu, Alper Eraslan, Berk Angun, Hale Goksever Celik, John Yeh, Ercan Bastu

Open access · bronzeAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 5 institutions in 3 countries.

Turkan GursuDepartment of Obstetrics and Gynecology, University of Health Sciences Turkey, Zeynep Kamil Maternity and Children's Training and Research Hospital, Burhanettin Ustunel Str No: 10 Uskudar Pbx: 34660, Istanbul, Turkey. turkangursu@hotmail.com.ORCID http://orcid.org/0000-0002-2047-9317
Alper EraslanDepartment of Reproductive Endocrinology and Infertility, Dunya IVF Center, Kyrenia, Cyprus.ORCID http://orcid.org/0000-0002-6003-9850
Berk AngunDepartment of Reproductive Endocrinology and Infertility, Dunya IVF Center, Kyrenia, Cyprus.ORCID http://orcid.org/0000-0002-6390-3317
Hale Goksever CelikIVF and Endometriosis Center, Department of Obstetrics and Gynecology, Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5162-3262
John YehDepartment of Obstetrics and Gynecology, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7071-3984
Ercan BastuDepartment of Obstetrics and Gynecology, Biruni University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0810-6195
Harvard University · USKent Hastanesi · TRLondon School of Hygiene & Tropical Medicine · GBUniversity of Massachusetts Chan Medical School · USZeynep Kamil Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the pregnancy outcomes between physiologic saline and G-Rinse medium solution for cervical mucus washing, in fresh elective single-embryo transfers (ET) in women under the age of 37. MATERIAL AND

methodsThis was a retrospective data analysis performed in a single in vitro fertilization (IVF) center between February 2018 and November 2021. Women younger than 37 years who underwent single elective ET were included and all women had anti-Mullerian hormone (AMH) levels ≥ 1.5 ng/ml. Age, body mass index (BMI), AMH levels, and pregnancy outcomes as clinical pregnancy rate (CPR) and live birth rate (LBR) were analyzed.

resultsStudy population consisted of 75 women in the G-Rinse medium solution group and 97 women in the physiologic saline group. Clinical pregnancy rate was 58.7% and 61.9% in the G-Rinse medium solution group and saline group, respectively (p = 0.673), and LBR was calculated as 41.3% and 47.4% in the G-Rinse medium solution group and saline group, respectively (p = 0.430). A log-binomial regression model was used and the model was adjusted for BMI to evaluate the effect of the cervical mucus washing method on the pregnancy outcomes. There was an estimated 5% decrease in the relative risk for CPR in the G-Rinse medium solution group compared to the saline group (95% CI: 0.74 to 1.2, p = 0.673). There was an estimated 13% reduction in the relative risk for LBR in the G-Rinse medium solution group compared to the saline group (95% CI: 0.62 to 1.23, p = 0.430). They were both statistically not significant.

conclusionIn our study, the replacement of using G-Rinse medium solution to physiologic saline solution for cervical cleaning did not change CPR and LBR outcomes. Using physiologic saline solution can be a good alternative approach for ectocervical washing during embryo transfer in selected population because of its lower costs, easy accessibility, and common use.

Indexed as

Pregnancy OutcomeSaline SolutionCervix MucusEmbryo TransferFemaleFertilization in VitroHumansLive BirthPregnancyPregnancy RateRetrospective StudiesSaline SolutionCervixClinical pregnancy rateEctocervical washingEmbryo transferG-Rinse medium solutionIn vitro fertilizationLive birth rateMucusPhysiologic saline solution

Identifiers

PMID36786949
PMCPMC9925918
OpenAlexW4320710602

What OpenQuestion holds

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Registered trials

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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.