Evidence map›Paper›PMID 38730126›Full record

ArticleJournal of assisted reproduction and genetics2024

Is a day 7 blastocyst predictive of the reproductive potential of sibling day 5 and day 6 blastocysts?

Jennia Michaeli, Natalie Ge, Ella Huszti, Ellen M Greenblatt

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2024. 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
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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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

4 authors.

Jennia MichaeliMount Sinai Fertility, Sinai Health System, 250 Dundas St. West, Suite 700, Toronto, ON, M5T 2Z5, Canada. jennia.michaeli@gmail.com.ORCID http://orcid.org/0000-0002-5802-1272
Natalie GeBiostatistics Research Unit, University Health Network, Toronto, ON, Canada.
Ella HusztiBiostatistics Research Unit, University Health Network, Toronto, ON, Canada.
Ellen M GreenblattMount Sinai Fertility, Sinai Health System, 250 Dundas St. West, Suite 700, Toronto, ON, M5T 2Z5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore if a day 7 blastocyst is predictive of the reproductive potential of sibling day 5 or day 6 blastocysts?

methodsRetrospective cohort of autologous frozen embryo transfers (FET), February 2019 to April 2022. Cycles divided into groups 1 to 5, according to the day of embryo cryopreservation and the presence of a day 7 blastocyst sibling within the cohort: group 1/group 2-day 5 blastocyst without/with a day 7 sibling, group 3/group 4-day 6 blastocyst without/with a day 7 sibling, group 5-day 7 blastocyst. Clinical, ongoing pregnancy and miscarriage rates, cycle, and patient characteristics are reported. Multivariable generalized estimating equations (GEE) logistic regression analysis accounts for confounders and assesses the effect of a sibling day 7 blastocyst on ongoing pregnancy rates of day 5 or day 6 blastocyst FETs.

resultsOngoing pregnancy rates are 38.4%, 59.5%, 30.8%, 32.7%, and 4.4% in groups 1-5, respectively. When correcting for maternal age, number of oocytes retrieved and discarded per cohort, and ploidy, embryos cryopreserved on either day 6 or day 7 have reduced odds of ongoing pregnancy after FET compared to day 5 blastocysts (OR = 0.76, IQR [0.61-0.95], p-value = 0.01). However, the presence of a day 7 sibling does not significantly affect odds of ongoing pregnancy of day 5 or day 6 blastocysts compared to the same-day blastocyst without a day 7 sibling (p-value = 0.20 and 0.46, respectively). This finding is consistent within both the Preimplantation Genetic Testing for Aneuploidy (PGT-A) unscreened and screened (euploid) embryo subgroups.

conclusionsDay of embryo cryopreservation significantly affects ongoing pregnancy rates. However, day 7 embryos within a cohort do not affect the reproductive potential of sibling day 5 and day 6 blastocysts, suggesting that slow embryo development is an embryo-specific trait.

Indexed as

BlastocystCryopreservationEmbryo TransferPregnancy RateSiblingsAdultEmbryo Culture TechniquesEmbryo ImplantationFemaleFertilization in VitroHumansPregnancyRetrospective StudiesBlastocystDay 5Day 6Day 7Oocyte

Identifiers

PMID38730126
PMCPMC11263261

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