Yi Hongliang, Sun Chengguang, Yuan Zhi, Chen Huijia, Zhang Chanyu
The Reproductive Medical Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Arch Med Sci. 2024 Aug 19;21(3):852-857. doi: 10.5114/aoms/174868. eCollection 2025.
We aimed to explore the possible link between the post-thaw culture duration and singleton birthweight resulting from frozen embryo transfer (FET) cycles.
In this retrospective study, 216 singletons were analyzed between January 2017 and December 2018 in our center. FET cycles were allocated to two main groups based on the interval between the moment of thawing and embryo transfer. The main outcome measure was the birthweight of singletons after FET. The confounding factors for singleton birthweight were evaluated using multiple linear regression analysis.
The mean singleton birthweight resulting from the long culture transfer group was not significantly different from singletons resulting from the short culture transfer group. The -scores for singletons were also not significantly different; however, the long culture transfer group had a higher proportion of small for gestational age (SGA) than the short culture transfer group. Using multiple linear regression analysis, we found that infant gender, gestational age and maternal BMI significantly affect singleton birthweight, while the duration of post-thaw culture had no effects on newborn birthweight.
Our study suggested that post-thaw culture duration did not affect the birthweight of singleton newborns. But singleton newborns from long post-thaw culture after a hormone replacement therapy (HRT) may have a higher risk of SGA.
我们旨在探讨解冻后培养时长与冻融胚胎移植(FET)周期所产生的单胎出生体重之间的潜在联系。
在这项回顾性研究中,我们对2017年1月至2018年12月期间在本中心出生的216名单胎婴儿进行了分析。根据解冻时刻与胚胎移植之间的间隔时间,将FET周期分为两个主要组。主要观察指标是FET后单胎的出生体重。使用多元线性回归分析评估单胎出生体重的混杂因素。
长时间培养移植组的单胎平均出生体重与短时间培养移植组的单胎平均出生体重无显著差异。单胎的z评分也无显著差异;然而,长时间培养移植组的小于胎龄儿(SGA)比例高于短时间培养移植组。通过多元线性回归分析,我们发现婴儿性别、孕周和母亲BMI显著影响单胎出生体重,而解冻后培养时长对新生儿出生体重没有影响。
我们的研究表明,解冻后培养时长不影响单胎新生儿的出生体重。但是,激素替代疗法(HRT)后解冻后长时间培养的单胎新生儿可能有更高的SGA风险。