Human Reproduction, Vol 12, 317-320, Copyright © 1997 by Oxford University Press
D Bider, A Livshits, M Yonish, Z Yemini, S Mashiach and J Dor
The study was conducted to examine the efficacy of the zona drilling
technique for promotion of successful implantation and pregnancy by
assisting embryo hatching in women of advanced age undergoing treatment by
in-vitro fertilization. A total of 839 embryos from 211 patients aged
>38 years underwent assisted hatching during 312 cycles of therapy. The
outcome of this micromanipulation procedure was compared to 540 non-hatched
pre-embryos transferred to 174 patients during 274 cycles of therapy.
Assisted hatching was performed on four- to eight- cell stage embryos using
the zona drilling technique. In the assisted hatching group, 839
micromanipulated embryos were replaced (two to four embryos per patient)
compared to 540 embryos transferred in the control group. Despite the fact
that the pregnancy rate was not statistically different between the groups
(8.9% in the assisted hatching group versus 5.1% in the controls) a trend
towards an increase was noted in the assisted hatching group. The
implantation rate was 3.75 and 3.55% per patient respectively, and there
was no significant difference in abortion rate between the groups. The
delivery rate was 3.8 and 3.4% per cycle respectively. The results of this
study demonstrated that assisted hatching by zona drilling in a selected
group of patients aged >38 years does not increase the take-home baby
rate after in-vitro fertilization treatment.
ARTICLES
Assisted hatching by zona drilling of human embryos in women of advanced age
Department of Obstetrics and Gynecology, Sackler Faculty of Medicine, Tel Aviv University, Israel.
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