Evidence map›Paper›PMID 39994607›Full record

ArticleBMC pregnancy and childbirth2025

Comparison of the perinatal outcomes of live-born singletons between blastocysts and cleavage-stage embryo transfer in FET cycles via propensity score matching.

Yaqiong Zeng, Juan Chen, Heying Zhang, Xiaowei Nie, Yong Tan, Yanyun Yin

Abstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yaqiong ZengDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Juan ChenDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Heying ZhangDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Xiaowei NieDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Yong TanDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Yanyun YinDepartment of Reproductive Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China. yinyanyun2011@163.com.

Funding

Jiangsu Traditional Chinese Medicine Science and Technology Development Project 2020ZX02National Natural Science Foundation of China 82174425
6 · The paper itself

Abstract

backgroundIn previous studies, the incidences of premature births and large for newborn gestational age (LGA ) infants were higher with blastocyst transfer than with cleavage-stage embryo transfer in infants conceived via frozen embryo transfer (FET) cycles. However, those previous studies reported unbalanced baseline characteristics between the blastocyst transfer group and the cleavage embryo transfer group. Therefore, in this study, we used propensity score matching to compare the birth weight and newborn gestational age of live-born singletons between blastocyst and cleavage-stage embryo transfer in FET cycles.

methodsFrom January 2018 to April 2023, 706 cases of singleton delivery resulting from FET cycles that met the inclusion and exclusion criteria were included in this study, of which 180 cases resulted from cleavage embryo transfer and 526 cases resulted from blastocyst transfer. Using propensity score matching, we obtained a well-balanced cohort with 173 pairs of cases. We compared the neonatal perinatal outcomes of this cohort, including birth weight and newborn gestational age, which are the primary outcomes. Moreover, we used multivariate linear regression to analyze whether the type of embryo transferred in a FET cycle was correlated with neonatal birth weight or newborn gestational age.

resultsAfter propensity score matching, there were no significant differences in any of the baseline characteristics between the blastocyst transfer group and cleavage-stage embryo transfer group. There were also no differences between the two groups in terms of the mean birth weight (g) (3380 [3050,3665] vs. 3380 [3002.5,3650], p = 0.941), newborn gestational age (days) (275 [269,280] vs. 275 [270,281], p = 0.282) or other perinatal outcomes. Multiple linear regression analysis revealed that the type of embryo transferred in a FET cycle was not correlated with neonatal birth weight or gestational age.

conclusionsBlastocyst transfer had perinatal outcomes similar to those of cleavage-stage embryo transfer for live-born singletons in FET cycles and did not influence the mean birth weight or gestational age of the neonates. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

BlastocystCleavage Stage, OvumEmbryo TransferAdultBirth WeightFemaleGestational AgeHumansInfant, NewbornLive BirthPregnancyPregnancy OutcomePropensity ScoreRetrospective StudiesBirth weightBlastocyst transferFETPerinatal outcomesSingleton

Identifiers

PMID39994607
PMCPMC11852848

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