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Pregnancy outcome and live birth after IVF and ICSI according to embryo quality

  • Assisted Reproduction
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Abstract

Purpose: The pregnancy outcome and the chances of birth were assessed according to embryo quality after IVF or ICSI.

Methods: The implantation rate (IR), the loss of gestational sacs rate (LGSR), and birth rate (BR) were determined according to the cleavage stage and the integrity of blastomeres after day-2 homogeneous embryo transfers (n = 1812).

Results: The LGSR was higher after transfers of 2–3-cell or 5–6-cell embryos and was significantly increased when more than 20% of the embryo volume was fragmented in 4-cell embryos. After transfers of 4-cell embryos without fragmentation, the BR was significantly higher than the BR after transfers of 4-cell embryos with 1–20% fragmentation (16.6% vs 13.1%). The difference was the consequence of a higher IR (20.4% vs 17.3%) but also of a lower LGSR (18.9% vs 24.2%).

Conclusions: Not only implantation and the ability to give a pregnancy, but also the capacity to give a live birth are dependent on the embryo quality.

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Authors and Affiliations

  1. Laboratoire de Biologie de la Reproduction, Université Paris V–Hôpital Cochin–APHP, 123, bd du Port-Royal, 75014, Paris, France

    Patricia Fauque, Roger Léandri, Françoise Merlet, Jean-Claude Juillard, Pierre Jouannet & Catherine Patrat

  2. Service de Gynécologie-Obstétrique, Hôpital Saint-Vincent de Paul, 82, avenue Denfert Rochereau, Cedex 14, 75674, Paris, France

    Sylvie Epelboin

  3. Service de Gynécologie-Obstétrique, Hôpital Cochin–Port-Royal, 123, bd du Port-Royal, 75014, Paris, France

    Juliette Guibert

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  1. Patricia Fauque
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  2. Roger Léandri
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Correspondence to Patricia Fauque.

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Fauque, P., Léandri, R., Merlet, F. et al. Pregnancy outcome and live birth after IVF and ICSI according to embryo quality. J Assist Reprod Genet 24, 159–165 (2007). https://doi.org/10.1007/s10815-007-9115-z

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  • DOI: https://doi.org/10.1007/s10815-007-9115-z

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