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Human Reproduction
Article
Data sources: UnpayWall
Human Reproduction
Article . 2012 . Peer-reviewed
Data sources: Crossref
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The impact of pronuclei morphology and dynamicity on live birth outcome after time-lapse culture

Authors: A, Azzarello; T, Hoest; A L, Mikkelsen;

The impact of pronuclei morphology and dynamicity on live birth outcome after time-lapse culture

Abstract

Can the pronuclei (PN) morphology and the time of PN breakdown (PNB) predict the potential of embryos to result in live birth?In comparison to embryos resulting in no live birth, PNB occurred significantly later in embryos resulting in live birth and never earlier than 20 h 45 min. None of the tested scoring systems were shown to predict the live birth outcome in a time-lapse set-up.The PN morphology is supported as a prominent embryo selection parameter in single light microscopy observations, although controversial results have been reported.This was a prospective study of 159 embryos, all of which were later transferred. The PN morphology of 46 embryos which resulted in live birth was compared with that of 113 embryos which resulted in no live birth.From 1 March 2010 to 30 August 2011, 130 couples underwent fertility treatment by ICSI. Embryo culture was performed in a time-lapse set-up from fertilization to intrauterine transfer. PN morphological assessment was performed on every embryo replaced, using six different scoring systems at different times.No embryo with PNB earlier than 20 h 45 min resulted in live birth. All six PN assessment models showed no significant distribution of scores (P = NS) between the live birth and no live birth groups at 16 h post-fertilization (PF), 18 h PF and 40 min before PNB. The outcomes of assessments changed significantly (P < 0.001) over time and the time of PNB was found to be the optimal stage to evaluate the PN morphology.The study includes only embryos reaching the 4-cell stage after ICSI, and transferred at 44 h PF.The PN morphology changes over time, indicating that the single light microscopy observation approach is deficient in comparison to time-lapse. Although the assessment of the PN morphology does not improve embryo selection, the timing of PNB should be included in embryo selection parameters.

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Keywords

Adult, Cell Nucleus, Male, Cumulus Cells, Time Factors, Pregnancy Outcome, Fertilization in Vitro, Embryo Transfer, Body Mass Index, Embryo Culture Techniques, Pregnancy, Research Design, Oocytes, Humans, Female, Prospective Studies, Sperm Injections, Intracytoplasmic, Live Birth, Gonadotropins

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    popularity
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    Top 1%
    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
141
Top 1%
Top 10%
Top 1%
bronze