Coasting, embryo development and outcomes of blastocyst transfer: a case–control study
Abstract This study compared the effect on blastocyst development and clinical outcome of coasting in women at increased risk of moderate–severe ovarian hyperstimulation syndrome (OHSS; n = 389) with a control group matched for age and basal FSH that did not undergo coasting ( n = 386) in IVF/intr...
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| Veröffentlicht in: | Reproductive biomedicine online 2014-08, Vol.29 (2), p.231-238 |
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| creator | Talebi Chahvar, Solmas Zosmer, Ariel Caragia, Alina Balestrini, Simona Sabatini, Luca Tranquilli, Andrea Luigi Al-Shawaf, Talha |
| description | Abstract This study compared the effect on blastocyst development and clinical outcome of coasting in women at increased risk of moderate–severe ovarian hyperstimulation syndrome (OHSS; n = 389) with a control group matched for age and basal FSH that did not undergo coasting ( n = 386) in IVF/intracytoplasmic sperm injection (ICSI) cycles. The main outcome measures were rate of blastocyst development and live birth. More cycles progressed to the blastocyst stage in the coasted group ( n = 169) compared with the control group ( n = 83; 43.4% versus 21.5%; P |
| doi_str_mv | 10.1016/j.rbmo.2014.04.014 |
| format | Article |
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The main outcome measures were rate of blastocyst development and live birth. More cycles progressed to the blastocyst stage in the coasted group ( n = 169) compared with the control group ( n = 83; 43.4% versus 21.5%; P < 0.001). The biochemical pregnancy, clinical pregnancy and live birth rates were similar (46.5% versus 42.0%; 40.6% versus 37.8%; 31.6% versus 30.1%). The duration of coasting up to 4 days did not affect progression to blastocyst stage. The multivariate model showed that coasting (OR 1.73, P = 0.004) and the number of oocytes retrieved (OR 1.17, P = 0.001) were positively correlated with blastocyst formation. Coasting, a measure to reduce the risk of OHSS, does not impair blastocyst development or clinical outcome. Coasting should remain an effective measure to prevent OHSS.</description><identifier>ISSN: 1472-6483</identifier><identifier>EISSN: 1472-6491</identifier><identifier>DOI: 10.1016/j.rbmo.2014.04.014</identifier><identifier>PMID: 24912420</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Blastocyst ; blastocysts ; Case-Control Studies ; coasting ; Embryo Transfer ; Female ; Follicle Stimulating Hormone - blood ; Humans ; IVF ; live birth ; Obstetrics and Gynecology ; OHSS ; Ovarian Hyperstimulation Syndrome - physiopathology ; Pregnancy ; Retrospective Studies</subject><ispartof>Reproductive biomedicine online, 2014-08, Vol.29 (2), p.231-238</ispartof><rights>Reproductive Healthcare Ltd.</rights><rights>2014 Reproductive Healthcare Ltd.</rights><rights>Copyright © 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-e18112292473f2db573e611e5cccd7bf0307a389090ed4d095c03115fc32b05b3</citedby><cites>FETCH-LOGICAL-c488t-e18112292473f2db573e611e5cccd7bf0307a389090ed4d095c03115fc32b05b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.rbmo.2014.04.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24912420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Talebi Chahvar, Solmas</creatorcontrib><creatorcontrib>Zosmer, Ariel</creatorcontrib><creatorcontrib>Caragia, Alina</creatorcontrib><creatorcontrib>Balestrini, Simona</creatorcontrib><creatorcontrib>Sabatini, Luca</creatorcontrib><creatorcontrib>Tranquilli, Andrea Luigi</creatorcontrib><creatorcontrib>Al-Shawaf, Talha</creatorcontrib><title>Coasting, embryo development and outcomes of blastocyst transfer: a case–control study</title><title>Reproductive biomedicine online</title><addtitle>Reprod Biomed Online</addtitle><description>Abstract This study compared the effect on blastocyst development and clinical outcome of coasting in women at increased risk of moderate–severe ovarian hyperstimulation syndrome (OHSS; n = 389) with a control group matched for age and basal FSH that did not undergo coasting ( n = 386) in IVF/intracytoplasmic sperm injection (ICSI) cycles. The main outcome measures were rate of blastocyst development and live birth. More cycles progressed to the blastocyst stage in the coasted group ( n = 169) compared with the control group ( n = 83; 43.4% versus 21.5%; P < 0.001). The biochemical pregnancy, clinical pregnancy and live birth rates were similar (46.5% versus 42.0%; 40.6% versus 37.8%; 31.6% versus 30.1%). The duration of coasting up to 4 days did not affect progression to blastocyst stage. The multivariate model showed that coasting (OR 1.73, P = 0.004) and the number of oocytes retrieved (OR 1.17, P = 0.001) were positively correlated with blastocyst formation. Coasting, a measure to reduce the risk of OHSS, does not impair blastocyst development or clinical outcome. Coasting should remain an effective measure to prevent OHSS.</description><subject>Adult</subject><subject>Blastocyst</subject><subject>blastocysts</subject><subject>Case-Control Studies</subject><subject>coasting</subject><subject>Embryo Transfer</subject><subject>Female</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Humans</subject><subject>IVF</subject><subject>live birth</subject><subject>Obstetrics and Gynecology</subject><subject>OHSS</subject><subject>Ovarian Hyperstimulation Syndrome - physiopathology</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><issn>1472-6483</issn><issn>1472-6491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-q1DAUh4Mo3j_6Ai4kSxfOeE6STlsRQQavChdcqOAupMmpZGybMUkvdOc7-IY-iSlzvQsXwoEE8v1-kO8w9gRhi4C7F4dt7MawFYBqC2VQ3WPnqGqx2akW79_dG3nGLlI6AGADjXzIzkR5F0rAOfu6DyZlP317zmns4hK4oxsawnGkKXMzOR7mbMNIiYeed0OBg11S5jmaKfUUX3LDrUn0--cvG6Ycw8BTnt3yiD3ozZDo8e15yb5cvf28f7-5_vjuw_7N9caqpskbwgZRiFaoWvbCdVUtaYdIlbXW1V0PEmojmxZaIKcctJUFiVj1VooOqk5esmen3mMMP2ZKWY8-WRoGM1GYk8aqwh00tZAFFSfUxpBSpF4fox9NXDSCXo3qg16N6tWohjKoSujpbf_cjeTuIn8VFuDVCaDyyxtPUSfrabLkfCSbtQv-__2v_4nbwU_emuE7LZQOYY5T8adRJ6FBf1p3uq4UFYCopJR_ABgYnRU</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Talebi Chahvar, Solmas</creator><creator>Zosmer, Ariel</creator><creator>Caragia, Alina</creator><creator>Balestrini, Simona</creator><creator>Sabatini, Luca</creator><creator>Tranquilli, Andrea Luigi</creator><creator>Al-Shawaf, Talha</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Coasting, embryo development and outcomes of blastocyst transfer: a case–control study</title><author>Talebi Chahvar, Solmas ; Zosmer, Ariel ; Caragia, Alina ; Balestrini, Simona ; Sabatini, Luca ; Tranquilli, Andrea Luigi ; Al-Shawaf, Talha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-e18112292473f2db573e611e5cccd7bf0307a389090ed4d095c03115fc32b05b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Blastocyst</topic><topic>blastocysts</topic><topic>Case-Control Studies</topic><topic>coasting</topic><topic>Embryo Transfer</topic><topic>Female</topic><topic>Follicle Stimulating Hormone - blood</topic><topic>Humans</topic><topic>IVF</topic><topic>live birth</topic><topic>Obstetrics and Gynecology</topic><topic>OHSS</topic><topic>Ovarian Hyperstimulation Syndrome - physiopathology</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Talebi Chahvar, Solmas</creatorcontrib><creatorcontrib>Zosmer, Ariel</creatorcontrib><creatorcontrib>Caragia, Alina</creatorcontrib><creatorcontrib>Balestrini, Simona</creatorcontrib><creatorcontrib>Sabatini, Luca</creatorcontrib><creatorcontrib>Tranquilli, Andrea Luigi</creatorcontrib><creatorcontrib>Al-Shawaf, Talha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Reproductive biomedicine online</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Talebi Chahvar, Solmas</au><au>Zosmer, Ariel</au><au>Caragia, Alina</au><au>Balestrini, Simona</au><au>Sabatini, Luca</au><au>Tranquilli, Andrea Luigi</au><au>Al-Shawaf, Talha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coasting, embryo development and outcomes of blastocyst transfer: a case–control study</atitle><jtitle>Reproductive biomedicine online</jtitle><addtitle>Reprod Biomed Online</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>29</volume><issue>2</issue><spage>231</spage><epage>238</epage><pages>231-238</pages><issn>1472-6483</issn><eissn>1472-6491</eissn><abstract>Abstract This study compared the effect on blastocyst development and clinical outcome of coasting in women at increased risk of moderate–severe ovarian hyperstimulation syndrome (OHSS; n = 389) with a control group matched for age and basal FSH that did not undergo coasting ( n = 386) in IVF/intracytoplasmic sperm injection (ICSI) cycles. The main outcome measures were rate of blastocyst development and live birth. More cycles progressed to the blastocyst stage in the coasted group ( n = 169) compared with the control group ( n = 83; 43.4% versus 21.5%; P < 0.001). The biochemical pregnancy, clinical pregnancy and live birth rates were similar (46.5% versus 42.0%; 40.6% versus 37.8%; 31.6% versus 30.1%). The duration of coasting up to 4 days did not affect progression to blastocyst stage. The multivariate model showed that coasting (OR 1.73, P = 0.004) and the number of oocytes retrieved (OR 1.17, P = 0.001) were positively correlated with blastocyst formation. Coasting, a measure to reduce the risk of OHSS, does not impair blastocyst development or clinical outcome. Coasting should remain an effective measure to prevent OHSS.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24912420</pmid><doi>10.1016/j.rbmo.2014.04.014</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Blastocyst blastocysts Case-Control Studies coasting Embryo Transfer Female Follicle Stimulating Hormone - blood Humans IVF live birth Obstetrics and Gynecology OHSS Ovarian Hyperstimulation Syndrome - physiopathology Pregnancy Retrospective Studies |
| title | Coasting, embryo development and outcomes of blastocyst transfer: a case–control study |
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