single embryo transfer
Recently Published Documents





Tiffany Stankewicz ◽  
Maria Ruiz-Alonso ◽  
Marc Soler-Ibañez ◽  
Carlos Simón ◽  
Diana Valbuena

2021 ◽  
Alice Goisis ◽  
Mikko Myrskylä

Abstract Background The increasing number and proportion of children born after medically assisted reproduction (MAR) has raised concerns and motivated research about the impact of MAR on the well-being and development of children. Objective We summarize existing studies on the well-being and development of children conceived through MAR. Materials and methods Review of existing studies. Results Children conceived through MAR are at increased risk of adverse birth outcomes such as low birthweight and preterm delivery compared to naturally conceived children. The higher rates of multiple births amongst MAR-conceived children continue to represent an important driving factor behind these disparities. Reassuringly, elective single embryo transfer (eSET)—which is associated with more favourable pregnancy outcomes among MAR-conceived children—is becoming more common. Despite the early life health disadvantages, the evidence on later life outcomes such as physical, cognitive and psychosocial development is generally reassuring. On average, MAR-conceived children show similar or better outcomes than naturally conceived children. The selected and advantaged socioeconomic characteristics of parents who conceive through MAR are likely to play an important role in explaining why, on average, MAR-conceived children perform better than naturally conceived children—particularly in terms of cognitive outcomes. In contrast, there is some evidence pointing to potentially increased risks of mental health problems among MAR-conceived children. Conclusion There is need for continued monitoring and longer follow-up studies on the well-being of these children in order to better understand whether their outcomes are similar to or different from those of naturally conceived children, and, if so, why.

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Feng Gao ◽  
Yujia Guo ◽  
Xingting Chen ◽  
Qiuyang Gu ◽  
Shirong Huang ◽  

Compared with full-term peers, premature infants are more likely to suffer from neonatal diseases and death. Variations in DNA methylation may affect these pathological processes. Calcitonin gene-related peptide (CGRP) plays a complex and diversified role in reproduction and chronic inflammation, and participates in the functional maintenance of vascular adaptation and trophoblast cells during pregnancy. Here, premature live births with single-chorionic triple embryos after single-embryo transfer were used as research objects, while full-term infants with double embryos and double-chorionic twins were used as controls. DNA was extracted from umbilical cord tissues for pyrosequencing to detect the methylation level of CpG island in CGRP promoter region. The average values of CGRP methylation in the umbilical cord tissues of very premature fetuses were higher than that of normal controls obtained from the databases. Immunofluorescence results showed that the expression of αCGRP was decreased in the blood vessel wall of the umbilical cord of monozygotic triplets, especially in death cases, while the βCGRP had a compensatory expression. In conclusion, our findings suggest that hypermethylation of CGRP might be considered as an important cause of serious neonatal morbidities.

2021 ◽  
Vol 116 (3) ◽  
pp. e240
Selena U. Park ◽  
Cheri K. Margolis ◽  
Joy Fatunbi ◽  
Leah M. Roberts ◽  
Brent M. Hanson ◽  

2021 ◽  
Vol 116 (3) ◽  
pp. e428
Prachi N. Godiwala ◽  
Arti Taggar ◽  
Reeva B. Makhijani ◽  
Lawrence Engmann ◽  
Claudio A. Benadiva ◽  

Sign in / Sign up

Export Citation Format

Share Document