Can Time-Lapse Incubation and Monitoring Be Beneficial to Assisted Reproduction Technology Outcomes? A Randomized Controlled Trial Using Day 3 Double Embryo Transfer

Objective: To determine if the application of time-lapse incubation and monitoring can be beneficial to clinical outcomes in assisted reproductive technology.Methods: A total of 600 patients were equally randomized to three groups, namely, conventional embryo culture and standard morphological selection (CM group), time-lapse culture and standard morphological selection (TLM group), and time-lapse culture and morphokinetic selection (TLA group). Notably, 424 undergoing fresh autologous in vitro fertilization cycles were analyzed, 132 patients in the CM group, 158 in the TLM group, and 134 in the TLA group. Main outcomes included clinical outcomes, embryo development rates, and perinatal outcomes.Results: Clinical pregnancy rates in the time-lapse groups were significantly higher than in the CM group (CM 65.2% vs. TLM 77.2% vs. TLA 81.3%). Implantation rates and live birth rates were significantly higher for the TLA group (59.7 and 70.9%) compared with the CM group (47.7 and 56.1%) but not compared with the TLM group (55.4 and 67.1%). There was no statistical difference in miscarriage and ectopic pregnancy rates among the three groups. Overall, birth weight was significantly higher in the time-lapse groups (CM 2,731.7 ± 644.8 g vs. TLM 3,066.5 ± 595.4 g vs. TLA 2,967.4 ± 590.0 g). The birth height of newborns in the TLM group was significantly longer than that of the CM group and TLA group (CM 48.3± 4.4 cm vs. TLM 49.8± 2.3 cm vs. TLA 48.5± 2.7 cm).Conclusion: Time-lapse incubation and monitoring have a significant benefit on clinical pregnancy rates and on overall birth weights while morphokinetic analysis is not necessary.Clinical Trial Registration: [www.ClinicalTrials.gov], identifier [NCT02974517].

Machine Milkability of Dromedary Camels: Correlation between Udder Morphology and Milk Flow Traits

This study aims to measure mammary morphological traits with a functional influence on machine milking ability of Tunisian Camels (Camelus dromedarius) and their evolution according to the stage of lactation and parity. Udder and teat measurements were recorded before morning milking and associated with the measurement of milk emission kinetics parameters evaluated with Lactocorder® devices (WMB AG, Balgache, Switzerland) and observations. Three main teat shapes were recorded and their dimensions evolved with parity and stage of lactation. The milk flow curves were classified into three main types according to their maximum and average flow rates and they also evolve according to parity and stage of lactation. An average of 41% of the milk flow curves was bimodal. The correlations showed that some morphological traits were unfavorable to rapid milking and that these increase with parity. Therefore, this study provides the first elements for a morphological selection associated with an aptitude for mechanical milking which appears rather good in our dromedaries. Nevertheless, it will be necessary to monitor a possible negative evolution of the functional and anatomical traits of the udders during the career of the animals.