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Full length article| Volume 283, P81-85, April 2023

The effect of the day 3 embryo cell number on the neonatal outcomes of day 5 single blastocyst transfer in frozen embryo transfer cycles

  • Linjun Chen
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
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  • Jie Wang
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
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  • Lihua Zhu
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
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  • Zhipeng Xu
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
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  • Ningyuan Zhang
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
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  • Fei Lin
    Correspondence
    Corresponding authors at: Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China.
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
    Search for articles by this author
  • Junshun Fang
    Correspondence
    Corresponding authors at: Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China.
    Affiliations
    Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Zhongshan Road 321#, Nanjing 210008, People's Republic of China

    Center for Molecular Reproductive Medicine, Nanjing University, Nanjing 210008, People's Republic of China
    Search for articles by this author
Published:February 10, 2023DOI:https://doi.org/10.1016/j.ejogrb.2023.02.002

      Abstract

      Objective

      To evaluate the influence of the day 3 embryo cell number on the neonatal outcomes of day 5 single blastocyst transfer in frozen embryo transfer (FET) cycles.

      Methods

      This retrospective study analysed a total of 2315 delivery cycles of day 5 single blastocyst transfer in FET cycles, including 489, 761 and 1103 live-born infants segregated according to a day 3 embryo cell number of <8, 8 and >8 cells, respectively. The neonatal outcomes of the three groups were compared.

      Results

      The day 3 embryo cell number did not significantly affect the incidence of monozygotic twins. The sex ratio increased as the day 3 embryo cell number increased, but the difference was not statistically significant. There were no significant differences in the rates of preterm birth or low birth weight among the three groups. The rates of stillbirths and neonatal deaths were also not significantly different among the three groups. Moreover, the day 3 embryo cell number did not increase the risk of birth defects in newborns.

      Conclusions

      The day 3 embryo cell number did not significantly affect neonatal outcomes.

      Keywords

      Abbreviations:

      FET (frozen embryo transfer), IVF (in vitro fertilization), ICSI (intracytoplasmic sperm injection), LBW (low birth weight), ART (assisted reproductive technology), rFSH (recombinant follicle stimulating hormone), hCG (human chorionic gonadotropin), BMI (body mass index), MZT (monozygotic twins), PGT (preimplantation genetic testing), aOR (adjusted odds ratio), CI (confidence interval)
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