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. 2022 May 19;2022(5):CD002118. doi: 10.1002/14651858.CD002118.pub6

Comparison 2. Blastocyst‐ versus cleavage‐stage transfer: cumulative pregnancy rate following fresh and frozen transfer.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Cumulative pregnancy rate from fresh and frozen transfers 5 632 Odds Ratio (M‐H, Fixed, 95% CI) 0.89 [0.64, 1.22]
2.2 Cumulative pregnancy rate per couple: grouped by number of embryos transferred 5 739 Odds Ratio (M‐H, Fixed, 95% CI) 0.88 [0.65, 1.18]
2.2.1 single embryo transfer 1 107 Odds Ratio (M‐H, Fixed, 95% CI) 0.84 [0.39, 1.79]
2.2.2 equal number of embryos transferred 5 632 Odds Ratio (M‐H, Fixed, 95% CI) 0.89 [0.64, 1.22]
2.3 Cumulative pregnancy rate per couple: grouped by prognosis 5 632 Odds Ratio (M‐H, Fixed, 95% CI) 0.89 [0.64, 1.22]
2.3.1 good prognostic factors 2 205 Odds Ratio (M‐H, Fixed, 95% CI) 0.54 [0.30, 0.98]
2.3.2 unselected group 3 427 Odds Ratio (M‐H, Fixed, 95% CI) 1.10 [0.74, 1.61]
2.4 Cumulative pregnancy rate: grouped by day of randomisation 5 632 Odds Ratio (M‐H, Fixed, 95% CI) 0.89 [0.64, 1.22]
2.4.1 randomisation at start of cycle 3 414 Odds Ratio (M‐H, Fixed, 95% CI) 0.81 [0.54, 1.20]
2.4.2 randomised on day of OPU and day 1 after OPU 2 218 Odds Ratio (M‐H, Fixed, 95% CI) 1.06 [0.61, 1.83]
2.5 Cumulative pregnancy rate from fresh and frozen transfers: grouped by vitrification or slow freezing 5   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.5.1 slow freezing 4 512 Odds Ratio (M‐H, Fixed, 95% CI) 0.69 [0.48, 0.99]
2.5.2 vitrification 1 120 Odds Ratio (M‐H, Fixed, 95% CI) 2.44 [1.17, 5.12]