2009
DOI: 10.1007/s10815-009-9321-y
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A theoretical model for single blastocyst transfer

Abstract: Objective To elucidate the relationship between embryo grade and ART outcomes and determine how to decrease multiple pregnancy rates by assigning patients to single embryo transfer (SET) instead of dual embryo transfer (DET) according to embryo grade and/or availability. Design Retrospective medical record review. Setting IVF fertility center. Patients 247 women undergoing day5 DET after in vitro fertilization or intracytoplasmic sperm injection treatment. Methods We retrospectively investigated embryo grade a… Show more

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Cited by 11 publications
(9 citation statements)
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“…Therefore, single-embryo transfer was proposed. Furthermore, elective blastocyst culture and single blastocyst transfer have been demonstrated as the best way to achieve this goal [ 9 10 11 ]. However, blastocyst culture is not suitable for all patients, so choosing patients appropriately is critical.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, single-embryo transfer was proposed. Furthermore, elective blastocyst culture and single blastocyst transfer have been demonstrated as the best way to achieve this goal [ 9 10 11 ]. However, blastocyst culture is not suitable for all patients, so choosing patients appropriately is critical.…”
Section: Discussionmentioning
confidence: 99%
“…Conventional IVF procedures were performed using previously described routine methods [13]. Embryo assessment was performed on days 3 and 5 for all study groups according to previously published criteria, including cell number, fragmentation, and morphological aspects.…”
Section: Embryo Assessmentmentioning
confidence: 99%
“…Embryos with grade ≥3BB serve as suitable candidates for single embryos transfer. 21 Specifically, 3BB stands for “degree of expansion and hatching status with a full blastocyst with a blastocoel completely filling the embryo; inner cell mass with loosely grouped, several cells; Tropoderm with few cells forming a loose epithelium.” 21 On D5, 35 derived blastocysts that scored better than 3BB were cryopreserved for future transfer; the remaining 26 blastocysts were transferred to new medium and cultured to D6 prior to cryopreservation. The spent culture media from D5 to D6 were collected and underwent cell-free DNA quantification.…”
Section: Methodsmentioning
confidence: 99%