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Embryo quality is the main factor affecting cumulative live birth rate after elective single embryo transfer in fresh stimulation cycles
The cumulative live birth rate in this age group varies from 40% to 64% and is dependent on the quality of embryos. Women with three or more top embryos have good chance of having more than one child per ovum pick-up without elevated risk of multiple pregnancies.
www.ejog.org/article/S0301-2115(15)00292-4/abstract
190. Cumulative Pregnancy Rate related to the number of good quality embryos. [Forum/Discussion]
from: Administrator (office@fertaid.com), Australia on 16/09/2015 7:30:22 AM Profession:
Comment: Using a cumulative pregnancy model (ET+FET), one can anticipate the likelihood of a live birth based purely on the number of good quality embryos.
Submission: RESULTS [from abstfact] In the fresh cycles, the live birth rate was 29.2% and the cumulative live birth rate was 51.3%, with a twin rate of 3.4%. In the multivariate analysis, having two (odds ratio (OR) 1.73- 95% confidence interval (CI) 1.122.67) or 3 or more top embryos (OR 2.66- 95% CI 1.793.95) was associated with higher odds for live birth after fresh and frozen embryo cycles. Age, body mass index, duration of infertility, diagnosis or total gonadotropin dose were not associated with the cumulative live birth rate. In cycles with one top embryo, the cumulative live birth rate was 40.2%, whereas it was 64.1% in those with at least three top embryos. Of women who had a live birth in the fresh cycle, 20.4% had more than one child after all frozen embryo transfers. Among women with three or more top embryos after ovum pick-up, 16.1% gave birth to more than one child.
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