The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006

Please cite this paper as: Dean J, Chapman M, Sullivan E. The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006. BJOG 2010;117:1628–1634. Objective  To assess...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2010-12, Vol.117 (13), p.1628-1634
Hauptverfasser: Dean, JH, Chapman, MG, Sullivan, EA
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container_title BJOG : an international journal of obstetrics and gynaecology
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creator Dean, JH
Chapman, MG
Sullivan, EA
description Please cite this paper as: Dean J, Chapman M, Sullivan E. The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006. BJOG 2010;117:1628–1634. Objective  To assess the effect on the human sex ratio at birth by assisted reproductive technology (ART) procedures. Design  Retrospective population‐based study. Setting  Fertility clinics in Australia and New Zealand. Population  The study included 13 368 babies by 13 165 women who had a single embryo transfer (SET) between 2002 and 2006. Methods  Logistic regression was used to model the effect on the sex ratio at birth of ART characteristics [in vitro fertilisation (IVF) or intracytoplasmic sperm insemination (ICSI) SET, cleavage‐stage or blastocyst SET, and fresh or thawed SET] and biological characteristics (woman’s and partner’s age and cause of infertility). Main outcome measures  Proportion of male births. Results  The crude sex ratio at birth was 51.3%. Individual ART procedures had a significant effect on the sex ratio at birth. More males were born following IVF SET (53.0%) than ICSI SET (50.0%), and following blastocyst SET (54.1%) than cleavage‐stage SET (49.9%). For a specific ART regimen, IVF blastocyst SET produced more males (56.1%) and ICSI cleavage‐stage SET produced fewer males (48.7%). Conclusions  The change in the sex ratio at birth of SET babies is associated with the ART regimen. The mechanism of these effects remains unclear. Fertility clinics and patients should be aware of the bias in the sex ratio at birth when using ART procedures.
doi_str_mv 10.1111/j.1471-0528.2010.02731.x
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The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006. BJOG 2010;117:1628–1634. Objective  To assess the effect on the human sex ratio at birth by assisted reproductive technology (ART) procedures. Design  Retrospective population‐based study. Setting  Fertility clinics in Australia and New Zealand. Population  The study included 13 368 babies by 13 165 women who had a single embryo transfer (SET) between 2002 and 2006. Methods  Logistic regression was used to model the effect on the sex ratio at birth of ART characteristics [in vitro fertilisation (IVF) or intracytoplasmic sperm insemination (ICSI) SET, cleavage‐stage or blastocyst SET, and fresh or thawed SET] and biological characteristics (woman’s and partner’s age and cause of infertility). Main outcome measures  Proportion of male births. Results  The crude sex ratio at birth was 51.3%. Individual ART procedures had a significant effect on the sex ratio at birth. More males were born following IVF SET (53.0%) than ICSI SET (50.0%), and following blastocyst SET (54.1%) than cleavage‐stage SET (49.9%). For a specific ART regimen, IVF blastocyst SET produced more males (56.1%) and ICSI cleavage‐stage SET produced fewer males (48.7%). Conclusions  The change in the sex ratio at birth of SET babies is associated with the ART regimen. The mechanism of these effects remains unclear. Fertility clinics and patients should be aware of the bias in the sex ratio at birth when using ART procedures.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2010.02731.x</identifier><identifier>PMID: 20875033</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; ART births ; Australia - epidemiology ; Biological and medical sciences ; Birth control ; Births ; blastocyst ; cleavage‐stage embryo ; Embryo Transfer - methods ; Embryo Transfer - statistics &amp; numerical data ; Embryos ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; ICSI ; Infant, Newborn ; Infertility, Female - epidemiology ; Infertility, Female - therapy ; Infertility, Male - epidemiology ; Infertility, Male - therapy ; IVF ; logistic regression ; Male ; Medical procedures ; Medical sciences ; New Zealand - epidemiology ; Reproductive technologies ; Retrospective Studies ; Sex Ratio ; sex ratio at birth ; single embryo transfer ; Sterility. 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The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006. BJOG 2010;117:1628–1634. Objective  To assess the effect on the human sex ratio at birth by assisted reproductive technology (ART) procedures. Design  Retrospective population‐based study. Setting  Fertility clinics in Australia and New Zealand. Population  The study included 13 368 babies by 13 165 women who had a single embryo transfer (SET) between 2002 and 2006. Methods  Logistic regression was used to model the effect on the sex ratio at birth of ART characteristics [in vitro fertilisation (IVF) or intracytoplasmic sperm insemination (ICSI) SET, cleavage‐stage or blastocyst SET, and fresh or thawed SET] and biological characteristics (woman’s and partner’s age and cause of infertility). Main outcome measures  Proportion of male births. Results  The crude sex ratio at birth was 51.3%. Individual ART procedures had a significant effect on the sex ratio at birth. More males were born following IVF SET (53.0%) than ICSI SET (50.0%), and following blastocyst SET (54.1%) than cleavage‐stage SET (49.9%). For a specific ART regimen, IVF blastocyst SET produced more males (56.1%) and ICSI cleavage‐stage SET produced fewer males (48.7%). Conclusions  The change in the sex ratio at birth of SET babies is associated with the ART regimen. The mechanism of these effects remains unclear. Fertility clinics and patients should be aware of the bias in the sex ratio at birth when using ART procedures.</description><subject>Adult</subject><subject>ART births</subject><subject>Australia - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Births</subject><subject>blastocyst</subject><subject>cleavage‐stage embryo</subject><subject>Embryo Transfer - methods</subject><subject>Embryo Transfer - statistics &amp; numerical data</subject><subject>Embryos</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>ICSI</subject><subject>Infant, Newborn</subject><subject>Infertility, Female - epidemiology</subject><subject>Infertility, Female - therapy</subject><subject>Infertility, Male - epidemiology</subject><subject>Infertility, Male - therapy</subject><subject>IVF</subject><subject>logistic regression</subject><subject>Male</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>New Zealand - epidemiology</subject><subject>Reproductive technologies</subject><subject>Retrospective Studies</subject><subject>Sex Ratio</subject><subject>sex ratio at birth</subject><subject>single embryo transfer</subject><subject>Sterility. 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The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006. BJOG 2010;117:1628–1634. Objective  To assess the effect on the human sex ratio at birth by assisted reproductive technology (ART) procedures. Design  Retrospective population‐based study. Setting  Fertility clinics in Australia and New Zealand. Population  The study included 13 368 babies by 13 165 women who had a single embryo transfer (SET) between 2002 and 2006. Methods  Logistic regression was used to model the effect on the sex ratio at birth of ART characteristics [in vitro fertilisation (IVF) or intracytoplasmic sperm insemination (ICSI) SET, cleavage‐stage or blastocyst SET, and fresh or thawed SET] and biological characteristics (woman’s and partner’s age and cause of infertility). Main outcome measures  Proportion of male births. Results  The crude sex ratio at birth was 51.3%. Individual ART procedures had a significant effect on the sex ratio at birth. More males were born following IVF SET (53.0%) than ICSI SET (50.0%), and following blastocyst SET (54.1%) than cleavage‐stage SET (49.9%). For a specific ART regimen, IVF blastocyst SET produced more males (56.1%) and ICSI cleavage‐stage SET produced fewer males (48.7%). Conclusions  The change in the sex ratio at birth of SET babies is associated with the ART regimen. The mechanism of these effects remains unclear. Fertility clinics and patients should be aware of the bias in the sex ratio at birth when using ART procedures.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20875033</pmid><doi>10.1111/j.1471-0528.2010.02731.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
ART births
Australia - epidemiology
Biological and medical sciences
Birth control
Births
blastocyst
cleavage‐stage embryo
Embryo Transfer - methods
Embryo Transfer - statistics & numerical data
Embryos
Female
Gynecology. Andrology. Obstetrics
Humans
ICSI
Infant, Newborn
Infertility, Female - epidemiology
Infertility, Female - therapy
Infertility, Male - epidemiology
Infertility, Male - therapy
IVF
logistic regression
Male
Medical procedures
Medical sciences
New Zealand - epidemiology
Reproductive technologies
Retrospective Studies
Sex Ratio
sex ratio at birth
single embryo transfer
Sterility. Assisted procreation
title The effect on human sex ratio at birth by assisted reproductive technology (ART) procedures – an assessment of babies born following single embryo transfers, Australia and New Zealand, 2002–2006
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