Ectopic pregnancy rates with day 3 versus day 5 embryo transfer: a retrospective analysisReport as inadecuate

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BMC Pregnancy and Childbirth

, 3:7

First Online: 07 November 2003Received: 24 September 2003Accepted: 07 November 2003


BackgroundBlastocyst transfer may theoretically decrease the incidence of ectopic pregnancy following IVF-ET in view of the decreased uterine contractility reported on day 5. The purpose of our study is to specifically compare the tubal pregnancy rates between day 3 and day 5 transfers.

MethodsA retrospective analysis of all clinical pregnancies conceived in our IVF program since 1998 was performed. The ectopic pregnancy rates were compared for day 3 and day 5 transfers.

ResultsThere were 623 clinical pregnancies resulting from day 3 transfers of which 22 were ectopic 3.5%. In day 5 transfers, there were 13 ectopic pregnancies out of 333 clinical pregnancies 3.9%. The difference between these rates is not statistically significant P = 0.8.

ConclusionsOur data suggests that the ectopic pregnancy rate is not reduced following blastocyst transfer compared to day 3 transfer. While there may be several benefits to extended culture in IVF, the decision to offer blastocyst transfer should be made independently from the issue of ectopic pregnancy risk.

KeywordsBlastocyst Ectopic pregnancy Embryo transfer IVF  Download fulltext PDF

Author: Amin A Milki - Sunny H Jun



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