Authors: Daniela P A F Braga Amanda S Setti Rita C S Figueira Assumpto Iaconelli Edson Borges
Publish Date: 2014/06/04
Volume: 31, Issue: 8, Pages: 1105-1110
Abstract
This study included 8444 embryos obtained from 1125 patients undergoing ICSI cycles between January/2011 and September/2013 The influence of the quality of the embryo on daystwo and three on blastocyst formation and implantation success was evaluated Moreover the implantation potential of lowquality embryos at cleavage stage transferred on daythree was compared with the implantation potential of lowquality embryos at cleavage stage transferred on dayfiveLowquality embryos on daytwo had an approximate 20 decreased chance of achieving the blastocyst stage and blastocysts derived from lowquality embryos on daytwo had a nearly 40 decrease in the implantation chance Lowquality embryos on daythree had a 30 decreased chance of achieving the blastocyst stage and blastocysts derived from lowquality embryos on daythree had an almost 40 decreased implantation chance The implantation rate didn’t differ when lowquality embryos on the cleavage stage were transferred on daythree or left in culture and transferred on dayfiveThe transfer of lowquality embryos on daythree is a better approach than transfer at the blastocyst stage In addition the embryo morphology evaluation at the cleavage stage is still needed for the selection of the embryo with the best implantation potential in extended embryo culture programmes
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