Good-quality blastocysts derived from vacuolized morulas show reduced viability.

Abstract:

OBJECTIVE:To study whether late spontaneous vacuolization on day 4 is an artefact or an alternate means of blastocele formation and to analyze its impact on pregnancy outcome and live birth. DESIGN:Prospective observational study. SETTING:University teaching hospital. PATIENT(S):A total of 424 patients who fulfilled inclusion criteria were subgrouped according to the spontaneous vacuolization on day 4: Group 1 had all morulas affected, group 2 showed no signs of vacuoles, and group 3 was mixed (some day 4 embryos had vacuoles and others did not). INTERVENTION(S):Screening for the presence of vacuoles on day 4 and fresh single-blastocyst transfer. MAIN OUTCOME MEASURE(S):Morula and blastocyst scoring, utilization rate, pregnancy and live birth rates. RESULT(S):Patients of group 1 had a reduced blastocyst formation rate on day 5 (P<.01) and significantly fewer good-quality blastocysts for usage (P<.05). In addition, pregnancy (P<.001) and live birth (P<.01) rate were significantly worse in group 1 compared with groups 2 and 3. CONCLUSION(S):Late onset of vacuolization around compaction stage is a negative predictor of blastocyst formation and outcome.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Mayer RB,Shebl O,Oppelt P,Reiter E,Altmann R,Enengl S,Allerstorfer C,Ebner T

doi

10.1016/j.fertnstert.2018.02.131

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1025-1029

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(18)30207-3

journal_volume

109

pub_type

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