Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.

Many strategies have been proposed for the selection of viable embryos for transfer in human assisted reproduction. These have included morphological scoring criteria for 20, 28, 44 and 68 h after insemination. The embryo selection is based on morphology, degree of fragmentation and development to t...

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Main Authors: Piotr Jedrzejczak, Magdalena Depa-Martynow, Leszek Pawelczyk
Format: Article
Language:English
Published: Via Medica 2008-04-01
Series:Folia Histochemica et Cytobiologica
Online Access:http://czasopisma.viamedica.pl/index.php/fhc/article/view/4494
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author Piotr Jedrzejczak
Magdalena Depa-Martynow
Leszek Pawelczyk
author_facet Piotr Jedrzejczak
Magdalena Depa-Martynow
Leszek Pawelczyk
author_sort Piotr Jedrzejczak
collection DOAJ
description Many strategies have been proposed for the selection of viable embryos for transfer in human assisted reproduction. These have included morphological scoring criteria for 20, 28, 44 and 68 h after insemination. The embryo selection is based on morphology, degree of fragmentation and development to the 8-cell. All have shown some correlation with implantation. However, the overall success of these methods is still limited, with over 50% of all transferred embryos failing to implant. Pronuclear zygote morphology has gained much attention recently due to its positive value in predicting implantation and pregnancy. This prospective study involved 178 conventional IVF patients only. The key aspects of pronuclear scoring and namely the presence of a cytoplasmic halo were related to day 3 of development and morphology in a retrospective study. The Z-score and the presence/absence of a halo had significant effect on the rate of development on day 3 embryo. Low Z-score result in slow development and poor morphology. The absence of a halo also resulted in slow and poor development, low morphology, increased fragmentation.
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spelling doaj.art-4a40e8843af441b2892d0e3670b27a2e2022-12-21T19:41:05ZengVia MedicaFolia Histochemica et Cytobiologica0239-85081897-56312008-04-0145Suppl 1858910.2478/4494Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.Piotr JedrzejczakMagdalena Depa-MartynowLeszek PawelczykMany strategies have been proposed for the selection of viable embryos for transfer in human assisted reproduction. These have included morphological scoring criteria for 20, 28, 44 and 68 h after insemination. The embryo selection is based on morphology, degree of fragmentation and development to the 8-cell. All have shown some correlation with implantation. However, the overall success of these methods is still limited, with over 50% of all transferred embryos failing to implant. Pronuclear zygote morphology has gained much attention recently due to its positive value in predicting implantation and pregnancy. This prospective study involved 178 conventional IVF patients only. The key aspects of pronuclear scoring and namely the presence of a cytoplasmic halo were related to day 3 of development and morphology in a retrospective study. The Z-score and the presence/absence of a halo had significant effect on the rate of development on day 3 embryo. Low Z-score result in slow development and poor morphology. The absence of a halo also resulted in slow and poor development, low morphology, increased fragmentation.http://czasopisma.viamedica.pl/index.php/fhc/article/view/4494
spellingShingle Piotr Jedrzejczak
Magdalena Depa-Martynow
Leszek Pawelczyk
Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
Folia Histochemica et Cytobiologica
title Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
title_full Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
title_fullStr Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
title_full_unstemmed Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
title_short Pronuclear scoring as a predictor of embryo quality in in vitro fertilization program.
title_sort pronuclear scoring as a predictor of embryo quality in in vitro fertilization program
url http://czasopisma.viamedica.pl/index.php/fhc/article/view/4494
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AT leszekpawelczyk pronuclearscoringasapredictorofembryoqualityininvitrofertilizationprogram