Articles Vol. 66 No. 2 04/03/2025

45. PREGNANCY OUTCOMES IN PATIENTS WITH FROZEN BLASTOCYST TRANSFER USE OF TIME-LAPSE INCUBATOR WITH AND WITHOUT PGT-A AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Nguyen Thi Thu Ha1,2, Nguyen Duy Anh1,2, Pham Thuy Nga3,4, Be Thi Hoa5,6
1 National Hospital of Obstetrics and Gynecology
2 Bệnh viện Phụ Sản Trung ương
3 Ha Noi Obstetrics and Gynecology Hospital
4 Bệnh viện Phụ sản Hà Nội
5 Thai Nguyen University of Medicine and Pharmacy
6 Trường Đại học Y dược Thái Nguyên
Corresponding author: dr.hanguyen.nhog@gmail.com
DOI: 10.52163/yhc.v66i2.2054
11 Views
15 Downloads
Abstract

Objective: To evaluate pregnancy outcomes in patients with frozen blastocyst embryo transfer cultured using the Timelapse system with and without preimplantation genetic testing for aneuploidy (PGT-A) at Hanoi Obstetrics and Gynecology Hospital.

Materials and methods: This cross-sectional descriptive study was conducted on 221 patients who underwent single day-5 frozen embryo transfer using the Timelapse system at Hanoi Obstetrics and Gynecology Hospital, from June 2023 to May 2024.

Results: The rate of bHCG (+), clinical pregnancy rate, and progressive pregnancy in the non-PGT group and the group with normal PGT results were significantly higher than in the group with abnormal PGT results (p< 0.05).. The difference between the 3 groups was not statistically significant (p>0.05). The pregnancy rate in ICM type A (70%; 53.9%; 71.4%) was higher than that in type B (30%; 46.1%; 28.6%) and C (0%; 0%; 0%) in all 3 groups: no PGT, normal PGT and abnormal PGT. The pregnancy rate in TE type A (61.4%) was higher than that in type B (38.6%) and C (0%) in the group that did not do PGT. The pregnancy rate in TE type B (55.3%; 71.4%) was higher than that in type A (36.8%; 28.6%) and C (7.9%; 0%) in both groups that did PGT with normal results and abnormal PGT.

Conclusion: Pregnancy outcomes in patients undergoing day-5 frozen embryo transfer cultured using the Timelapse system without PGT-A or with normal PGT-A results are superior to those with abnormal PGT-A results (p > 0.05).

References
[1]
. Martins WP, Nastri CO, Rienzi L, van der Poel SZ, Gracia C, Racowsky C. Blastocyst vs cleavage-stage embryo transfer: systematic review and meta-analysis of reproductive outcomes. Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol. 2017;49(5):583-591. doi:10.1002/ uog.17327 Google Scholar
[2]
. Kirkegaard K, Ahlström A, Ingerslev HJ, Hardarson T. Choosing the best embryo by time lapse versus standard morphology. Fertil Steril. 2015; 103(2): 323-332. doi:10.1016/j.fertnstert.2014.11.003 Google Scholar
[3]
. Pribenszky C, Nilselid AM, Montag M. Time-lapse culture with morphokinetic embryo selection improves pregnancy and live birth chances and reduces early pregnancy loss: a meta-analysis. Reprod Biomed Online. 2017;35(5):511-520. doi:10.1016/j.rbmo.2017.06.022 Google Scholar
[4]
. Rubio I, Galán A, Larreategui Z, et al. Clinical validation of embryo culture and selection by morphokinetic analysis: a randomized, controlled trial of the EmbryoScope. Fertil Steril. 2014;102(5):1287-1294.e5. doi:10.1016/j.fertnstert.2014.07.738 Google Scholar
[5]
. ESHRE Working group on Time-lapse technology, Apter S, Ebner T, et al. Good practice recommendations for the use of time-lapse technology†. Hum Reprod Open. 2020;2020(2):hoaa008. doi:10.1093/ hropen/hoaa008 Google Scholar
[6]
. Gardner DK, Lane M, Stevens J, Schlenker T, Schoolcraft WB. Blastocyst score affects implantation and pregnancy outcome: towards a single blastocyst transfer. Fertil Steril. 2000;73(6):1155-1158. doi:10.1016/s0015-0282(00)00518-5 Google Scholar
[7]
. WHO. Child Growth Standards, WHO Library Cataloguing-in-Publication Data. ISBN 924. 154693X- NLM Classification VS 103-2007 Google Scholar
[8]
. Diêm Thị Yến, Lê Thị Phương Lan, Nguyễn Thị Cẩm Vân, Nguyễn Thị Như Trang, Trần Huệ Trân, Trương Văn Hạnh, Khuất Hữu Quân, Nguyễn Vũ Hà, Vũ Văn Thành, Vũ Thị Liên. Kết quả lâm sàng của các trường hợp chuyển một phôi nang qua phương pháp nuôi cấy Time lapse tại trung tâm hỗ trợ sinh sản Vinmec Times City. Tạp Chí Học Việt Nam. 2022;510(1). doi:10.51298/vmj.v510i1.1920 Google Scholar