Obstetrical and Neonatal Outcomes of 3,028 Singletons Born After Advanced ART Techniques: Ejaculated Sperm Intracytoplasmic Sperm Injection, Artificial Oocyte Activation, in Vitro Maturation and Testicular Sperm Extraction Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.1142/s2661318221500031
Background: To evaluate obstetrical and neonatal outcomes of singletons conceived after advanced assisted reproductive technology (ART) techniques: conventional IVF pregnancies (C-IVF), ejaculated sperm intracytoplasmic sperm injection (ICSI), assisted oocyte activation (AOA), in vitro maturation (IVM), and testicular sperm extraction (TESE). Methods: The subjects were 3,028 singletons who were born after fresh or frozen embryo transfer. The subjects were separated into five groups: C-IVF ([Formula: see text]), ICSI ([Formula: see text]), AOA ([Formula: see text]), IVM ([Formula: see text]), and TESE ([Formula: see text]). We evaluated obstetrical and neonatal outcomes calculating the adjusted odds ratio (AOR) using multivariable logistic regression analyses for fresh and frozen embryos and for cleavage and blastocyst transfer. The C-IVF group was used as a background control for the ICSI group. Moreover, the TESE, AOA, and IVM groups were compared to the ICSI group to evaluate the effects of the ICSI procedure itself. Results: The incidence of perinatal complications was significantly lower in the ICSI-fresh group ([Formula: see text], 95% CI: 0.10–0.83, [Formula: see text]). Regarding sex ratio, the IVM was significantly associated with sex ratio imbalance toward female in both fresh and frozen groups ([Formula: see text], 95% CI: 0.10–0.96, [Formula: see text], 95% CI: 0.07–0.98, [Formula: see text]). On the other hand, there were no significant differences in preterm birth rate, low birth weight rate and congenital abnormalities rate between conventional IVF, ICSI, and the other groups. Conclusions: There were no negative effects on obstetrical and neonatal outcomes between conventional IVF and ICSI. Although this was a limited sample size study, advanced ART technologies such as AOA, IVM, and TESE also seem to have a low risk of adverse impact on obstetrical and neonatal outcomes but may have a slight impact on sex ratio.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1142/s2661318221500031
- OA Status
- diamond
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3173601322
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3173601322Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1142/s2661318221500031Digital Object Identifier
- Title
-
Obstetrical and Neonatal Outcomes of 3,028 Singletons Born After Advanced ART Techniques: Ejaculated Sperm Intracytoplasmic Sperm Injection, Artificial Oocyte Activation, in Vitro Maturation and Testicular Sperm ExtractionWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-06-01Full publication date if available
- Authors
-
Hiromitsu Hattori, Yuko Atsumi, Yukiko Nakajo, Nobuya Aono, Masae Koizumi, Mayumi Toya, Hideki Igarashi, Koichi KyonoList of authors in order
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https://doi.org/10.1142/s2661318221500031Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.1142/s2661318221500031Direct OA link when available
- Concepts
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Intracytoplasmic sperm injection, Sperm, Medicine, Assisted reproductive technology, Andrology, In vitro fertilisation, Gynecology, Embryo transfer, Odds ratio, Live birth, Oocyte, Pregnancy, Obstetrics, Embryo, Infertility, Biology, Internal medicine, Genetics, Cell biologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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39Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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