Table 4.
Clinical outcomes of implantation potential according to type of oocytes
RF(‐) oocytes | RF(+) oocytes | Crude difference | Adjusted difference | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
95% CI | 95% CI | Estimated regression coefficient | SE | COR | 95% CI | P‐value | estimated regression coefficient | SE | aOR | 95% CI | P‐value | |||
No. of transferred embryos | 339 | 99 | ||||||||||||
Implantation rate |
42.2% (143/339) |
37.0‐47.5 |
24.2% (24/99) |
16.9‐33.5 | −0.824 | 0.259 | 0.44 | 0.26‐0.72 | .001 | −0.778 | 0.278 | 0.46 | 0.26‐0.78 | .005 |
Implantation rate of high‐quality blastocyst transferred |
46.1% (111/241) |
39.9‐52.4 |
28.6% (18/63) |
18.9‐40.7 | −0.758 | 0.307 | 0.47 | 0.25‐0.84 | .014 | −0.688 | 0.341 | 0.50 | 0.25‐0.96 | .043 |
Live birth rate |
29.2% (99/339) |
24.6‐34.3 |
19.2% (19/99) |
12.6‐28.0 | −0.552 | 0.282 | 0.58 | 0.32‐0.98 | .050 | −0.514 | 0.314 | 0.60 | 0.31‐1.08 | .101 |
Live birth rate of high‐quality blastocyst transferred |
33.6% (81/241) |
27.9‐39.8 |
22.2% (14/63) |
13.7‐33.9 | −0.572 | 0.332 | 0.56 | 0.29‐1.06 | .085 | −0.523 | 0.378 | 0.59 | 0.27‐1.21 | .166 |
aNeonatal abnormality rate |
3.0% (3/99) |
1.0‐8.5 |
0% (0/19) |
.995 | ||||||||||
Pregnancy loss rate |
30.8% (44/143) |
23.8‐38.8 |
20.8%b (5/24) |
9.2‐40.5 | −0.524 | 0.534 | 0.59 | 0.19‐1.58 | .327 | −0.557 | 0.558 | 0.57 | 0.17‐1.59 | .318 |
Pregnancy loss of high‐quality blastocyst transferred |
27.0% (30/111) |
19.6‐36.0 |
22.2% (4/18) |
9.0‐45.2 | −0.260 | 0.606 | 0.77 | 0.21‐2.35 | .668 | −0.277 | 0.619 | 0.76 | 0.19‐2.41 | .655 |
Implantation rates, live birth rates, and pregnancy loss rates were analyzed using a mixed‐effects logistic regression model that contains terms for the presence of RFs (0/1), age, and high‐grade blastocyst development (0/1) as fixed effects and patient‐specific intercept as a random effect.
Abbreviations: aOR, adjusted odds ratio; CI, confidence interval; COR, crude odds ratio.
The neonatal abnormalities found in the newborn babies were pulmonary valve stenosis, small for gestational age, and cleft palate.
One stillbirth, occurring at 24 wk and 6 d, has been included in the pregnancy loss rate.