Evidence map›Paper›PMID 40399707›Full record

SynthesisJournal of assisted reproduction and genetics2025

Sequential embryo transfer efficacy in enhancing pregnancy outcomes: a systematic review and meta-analysis.

Noran Magdy Shalma, Ahmed M Talaia, Mohamed R Abdelraouf, Mostafa Abdullah Alsharabasy, Ayah Abdulgadir, Nada K Abdelsattar, Mohamed Abd-ElGawad

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of assisted reproduction and genetics, 2025. 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
–field-weighted citation impact
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. 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

7 authors.

Noran Magdy ShalmaFaculty of Medicine, Tanta University, Tanta, Egypt. Nouran_30942456@med.tanta.edu.eg.ORCID http://orcid.org/0000-0001-9231-7213
Ahmed M TalaiaFaculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed R AbdelraoufFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mostafa Abdullah AlsharabasyFaculty of Medicine, Zagazig University, Zagazig, Egypt.
Ayah AbdulgadirFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Nada K AbdelsattarFaculty of Medicine, Fayoum University, Fayoum, Egypt.
Mohamed Abd-ElGawadFaculty of Medicine, Fayoum University, Fayoum, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSequential embryo transfer (SEQET) can increase the availability of embryos at various stages within the implantation window, thus improving the outcomes of assisted conception. This research seeks to analyze and synthesize clinical information on the influence of SEQET on in vitro fertilization (IVF) embryo transfer outcomes.

methodsThe literature search was done through four databases, which are Pubmed, Web of Science, Scopus, and Cochrane. The inclusion criteria are clinical trials or observational studies comparing sequential embryo transfer (cleavage and blastocyst) to single-day embryo transfer (cleavage or blastocyst) in women undergoing IVF. Data was collected from the included studies and analyzed by RevMan software.

resultsTwenty-three studies fulfilled the criteria for inclusion in this study. We found that SEQET showed significant improvement in clinical and chemical pregnancy rates (P < 0.00001) in comparison to the cleavage embryo transfer (CET) group. Moreover, implantation rates (P = 0.002) and live births (P = 0.006) were significantly greater. In comparing SEQET to blastocyst transfer, SEQET was associated with a significant increase in the clinical pregnancy rate (P = 0.003).

conclusionThis research discovered that sequential embryo transfer significantly enhanced live birth, clinical pregnancy, chemical pregnancy, and implantation rates compared to cleavage transfer. SEQET also improved clinical pregnancy rates compared to blastocyst transfer. However, there was no significant difference between the two groups in terms of live birth, implantation rates, or miscarriages.

Indexed as

Embryo TransferFertilization in VitroPregnancy OutcomeBlastocystEmbryo ImplantationFemaleHumansLive BirthPregnancyPregnancy RateCleavage transferIVFSequential embryo transfer

Identifiers

PMID40399707
PMCPMC12356793

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.