A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women

Objective: To investigate if next-generation sequencing-based preimplantation genetic testing for aneuploidies could improve pregnancy outcomes in women of advanced maternal age. Materials and methods: A retrospective analysis. The clinical data of 1099 couples treated in the First Medical Center of...

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Main Authors: Yizhuo Yang, Xinmeng Guo, Ming Zhang, Hui Wang, Sha Mu, Hongmei Peng, Yuanqing Yao
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455923001894
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author Yizhuo Yang
Xinmeng Guo
Ming Zhang
Hui Wang
Sha Mu
Hongmei Peng
Yuanqing Yao
author_facet Yizhuo Yang
Xinmeng Guo
Ming Zhang
Hui Wang
Sha Mu
Hongmei Peng
Yuanqing Yao
author_sort Yizhuo Yang
collection DOAJ
description Objective: To investigate if next-generation sequencing-based preimplantation genetic testing for aneuploidies could improve pregnancy outcomes in women of advanced maternal age. Materials and methods: A retrospective analysis. The clinical data of 1099 couples treated in the First Medical Center of the Chinese PLA General Hospital from January 2019 to December 2021 were analyzed. They were divided into two groups based on whether they underwent a Next-generation sequencing-based preimplantation genetic test for aneuploidies. We analyzed and compared the biochemical pregnancy rate, clinical pregnancy rate, abortion rate, and live birth rate between the two groups. Results: The Preimplantation genetic testing for aneuploidies (PGT-A) group was associated with higher rate of biochemical pregnancy and clinical pregnancy than the non-PGT-A group, which were 63.9% vs. 56.4% (P = 0.009) and 54.4% vs. 45.6% (P < 0.001), respectively. The abortion rate was significantly lower in the PGT-A group compared to the non-PGT-A group (2.3% vs. 14.7%, P < 0.001). In addition, the live birth rate was significantly higher in the PGT-A group compared to the non-PGT-A group (52.1% and 30.9%, respectively, P < 0.001). Conclusion: Next-generation sequencing-based preimplantation genetic testing for aneuploidies significantly improved the pregnancy outcomes in women of advanced maternal age.
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spelling doaj.art-7d7a527c929f498385a09dc7c8d389ff2023-09-07T04:43:05ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-09-01625729734A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age womenYizhuo Yang0Xinmeng Guo1Ming Zhang2Hui Wang3Sha Mu4Hongmei Peng5Yuanqing Yao6Department of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, ChinaCollege of Medicine, Nankai University, 94 Weijin Road, Tianjin, 300071, ChinaDepartment of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, ChinaDepartment of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, ChinaDepartment of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, ChinaDepartment of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China; Corresponding author.Department of Obstetrics and Gynecology, The First Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China; College of Medicine, Nankai University, 94 Weijin Road, Tianjin, 300071, China; The University of Hong Kong - Shenzhen Hospital, 1 Haiyuan Road, Shenzhen, Guangdong, 518053, China; Corresponding author. Department of Obstetrics and Gynecology, PLA General Hospital, Medical School of Chinese PLA, 28 Fuxing Road, Beijing, 100853, China.Objective: To investigate if next-generation sequencing-based preimplantation genetic testing for aneuploidies could improve pregnancy outcomes in women of advanced maternal age. Materials and methods: A retrospective analysis. The clinical data of 1099 couples treated in the First Medical Center of the Chinese PLA General Hospital from January 2019 to December 2021 were analyzed. They were divided into two groups based on whether they underwent a Next-generation sequencing-based preimplantation genetic test for aneuploidies. We analyzed and compared the biochemical pregnancy rate, clinical pregnancy rate, abortion rate, and live birth rate between the two groups. Results: The Preimplantation genetic testing for aneuploidies (PGT-A) group was associated with higher rate of biochemical pregnancy and clinical pregnancy than the non-PGT-A group, which were 63.9% vs. 56.4% (P = 0.009) and 54.4% vs. 45.6% (P < 0.001), respectively. The abortion rate was significantly lower in the PGT-A group compared to the non-PGT-A group (2.3% vs. 14.7%, P < 0.001). In addition, the live birth rate was significantly higher in the PGT-A group compared to the non-PGT-A group (52.1% and 30.9%, respectively, P < 0.001). Conclusion: Next-generation sequencing-based preimplantation genetic testing for aneuploidies significantly improved the pregnancy outcomes in women of advanced maternal age.http://www.sciencedirect.com/science/article/pii/S1028455923001894Preimplantation genetic testing for aneuploidyNext-generation sequencingAdvanced maternal agePregnancy outcomes
spellingShingle Yizhuo Yang
Xinmeng Guo
Ming Zhang
Hui Wang
Sha Mu
Hongmei Peng
Yuanqing Yao
A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
Taiwanese Journal of Obstetrics & Gynecology
Preimplantation genetic testing for aneuploidy
Next-generation sequencing
Advanced maternal age
Pregnancy outcomes
title A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
title_full A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
title_fullStr A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
title_full_unstemmed A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
title_short A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
title_sort study of application effects of next generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women
topic Preimplantation genetic testing for aneuploidy
Next-generation sequencing
Advanced maternal age
Pregnancy outcomes
url http://www.sciencedirect.com/science/article/pii/S1028455923001894
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