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. 2021 Feb 4;2021(2):CD011184. doi: 10.1002/14651858.CD011184.pub3

Comparison 1. Freeze‐all versus conventional IVF, outcomes per woman.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Cumulative live birth rate 8 4712 Odds Ratio (M‐H, Fixed, 95% CI) 1.08 [0.95, 1.22]
1.1.1 Live birth rate: cumulatively for cleavage stage transfer 3 2415 Odds Ratio (M‐H, Fixed, 95% CI) 1.09 [0.93, 1.29]
1.1.2 Live birth rate: cumulatively for blastocyst stage transfer 5 2297 Odds Ratio (M‐H, Fixed, 95% CI) 1.06 [0.88, 1.27]
1.2 Ovarian hyperstimulation syndrome (OHSS) 6   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
1.2.1 Per cycle with ovarian hyperstimulation 6 4478 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.26 [0.17, 0.39]
1.3 Cumulative ongoing pregnancy rate 4 1245 Odds Ratio (M‐H, Fixed, 95% CI) 0.95 [0.75, 1.19]
1.3.1 Ongoing pregnancy rate: cumulatively for cleavage stage transfer 1 782 Odds Ratio (M‐H, Fixed, 95% CI) 1.03 [0.78, 1.37]
1.3.2 Ongoing pregnancy rate: cumulatively for blastocyst stage transfer 3 463 Odds Ratio (M‐H, Fixed, 95% CI) 0.80 [0.54, 1.18]
1.4 Cumulative clinical pregnancy rate 4 1320 Odds Ratio (M‐H, Fixed, 95% CI) 0.92 [0.72, 1.16]
1.4.1 Clinical pregnancy rate: cumulatively for cleavage stage transfer 2 907 Odds Ratio (M‐H, Fixed, 95% CI) 1.00 [0.76, 1.32]
1.4.2 Clinical pregnancy rate: cumulatively for blastocyst stage transfer 2 413 Odds Ratio (M‐H, Fixed, 95% CI) 0.70 [0.44, 1.13]
1.5 Ectopic pregnancy 6   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
1.5.1 Ectopic pregnancy: cumulatively 2 986 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.61 [0.31, 1.22]
1.5.2 Ectopic pregnancy: after first embryo transfer 5 4274 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.64 [0.39, 1.06]
1.6 Miscarriage 8   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
1.6.1 Miscarriage rate: cumulatively 2 986 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.06 [0.72, 1.55]
1.6.2 Miscarriage rate: after first embryo transfer 8 4569 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.90 [0.76, 1.07]
1.7 Multiple pregnancy 5 5252 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.10 [0.92, 1.31]
1.7.1 Multiple pregnancy rate: cumulatively 2 986 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.88 [0.61, 1.25]
1.7.2 Multiple pregnancy rate: after first embryo transfer 5 4266 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.18 [0.96, 1.45]
1.8 Gestational diabetes mellitus 3 4722 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.26 [0.92, 1.71]
1.8.1 Gestational diabetes mellitus: cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.83 [0.36, 1.94]
1.8.2 Gestational diabetes mellitus: after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.34 [0.96, 1.86]
1.9 Hypertensive disorders of pregnancy 3 4722 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.80 [1.23, 2.64]
1.9.1 Hypertensive disorders of pregnancy: cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.70 [0.27, 1.82]
1.9.2 Hypertensive disorders of pregnancy: after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.15 [1.42, 3.25]
1.10 Preterm delivery (< 37 weeks of gestational age) 4 4926 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.00 [0.80, 1.25]
1.10.1 Preterm delivery (< 37 weeks of gestational age): cumulatively 2 986 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.62 [0.39, 0.99]
1.10.2 Preterm delivery (< 37 weeks of gestational age): after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.15 [0.89, 1.50]
1.11 Perinatal and neonatal death 2 3072 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.18 [0.40, 3.51]
1.11.1 Perinatal and neonatal death: cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.13 [0.01, 1.30]
1.11.2 Perinatal and neonatal death: after first embryo transfer 2 2290 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.27 [0.65, 7.84]
1.12 Neonatal hospitalisation (> 3 days or neonatal intensive care unit admission) 3 4722 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.35 [1.06, 1.72]
1.12.1 Neonatal hospitalisation (> 3 days or neonatal intensive care unit admission): cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.00 [0.29, 3.48]
1.12.2 Neonatal hospitalisation (> 3 days or neonatal intensive care unit admission): after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.37 [1.07, 1.75]
1.13 Large for gestational age (birth weight > 90th percentile) 3 4722 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.96 [1.52, 2.53]
1.13.1 Large for gestational age (birth weight > 90th percentile): cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.97 [0.63, 6.15]
1.13.2 Large for gestational age (birth weight > 90th percentile): after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.96 [1.51, 2.55]
1.14 Small for gestational age (birth weight < 10th percentile) 3 4722 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.77 [0.61, 0.97]
1.14.1 Small for gestational age (birth weight < 10th percentile): cumulatively 1 782 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.36 [0.16, 0.80]
1.14.2 Small for gestational age (birth weight < 10th percentile): after first embryo transfer 3 3940 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.82 [0.65, 1.05]
1.15 Congenital abnormalities per live‐born children 3 1789 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.08 [0.65, 1.78]
1.16 Birth weight of babies born 5   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.16.1 Birth weight of singletons 5 1607 Mean Difference (IV, Fixed, 95% CI) 127.44 [77.08, 177.80]
1.16.2 Birth weight of multiples 4 804 Mean Difference (IV, Fixed, 95% CI) 49.46 [‐21.15, 120.08]