Risk of major congenital anomalies after assisted hatching: analysis of three-year data from the national assisted reproduction registry in Japan.

Abstract:

OBJECTIVE:To assess perinatal risk of major congenital anomalies in children born after embryo transfer with assisted hatching (AH). DESIGN:Retrospective cohort study. SETTING:Not applicable. PATIENT(S):Cycles registered from 2010 to 2012 and conceived via single-embryo transfer were included for the analysis. Live births, still births after 22 weeks of gestation, and selectively terminated cases because of congenital anomalies were included. INTERVENTION(S):None. MAIN OUTCOME MEASURE(S):Major congenital anomaly. RESULT(S):AH was performed in 35,488 cycles among 72,125 included cycles (49.2%). A total of 1,046 major congenital anomalies (1.4%) were identified (1.36% in AH group vs. 1.50% in non-AH group). Overall risks for major congenital anomalies were not significantly different between AH and non-AH groups adjusting for maternal age, calendar year, fetal sex, embryo stage at transfer, and status of cryopreservation. There were 1,009 cases of twins (1.5%) and 10 cases of triplets (0.015%) among all included cycles. No specific organ system demonstrated significant association between AH and non-AH groups. Subgroup analysis demonstrated no significant association between AH and non-AH groups in intracytoplasmic sperm injection cycles or in vitro fertilization in fresh cycles. Similar nonsignificant association was observed between early-cleavage or blastocyst stage at transfer in frozen-thawed cycles. CONCLUSION(S):Our results suggest that AH alone does not increase the risk of major congenital anomaly.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Jwa J,Jwa SC,Kuwahara A,Yoshida A,Saito H

doi

10.1016/j.fertnstert.2015.03.029

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

71-8

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(15)00234-4

journal_volume

104

pub_type

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