Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China

Abstract Objective To investigate whether seasonal variations and meteorological factors influence pregnancy outcomes in women undergoing in vitro fertilization-embryo transfer (IVF-ET) treatment. Design Retrospective cohort study. Setting University-affiliated reproductive medical center. Subjects...

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Main Authors: Ting Chu, Di Wang, Ting Yu, Jun Zhai
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Reproductive Biology and Endocrinology
Subjects:
Online Access:https://doi.org/10.1186/s12958-022-00986-3
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author Ting Chu
Di Wang
Ting Yu
Jun Zhai
author_facet Ting Chu
Di Wang
Ting Yu
Jun Zhai
author_sort Ting Chu
collection DOAJ
description Abstract Objective To investigate whether seasonal variations and meteorological factors influence pregnancy outcomes in women undergoing in vitro fertilization-embryo transfer (IVF-ET) treatment. Design Retrospective cohort study. Setting University-affiliated reproductive medical center. Subjects Women aged < 35 years undergoing IVF from June 1, 2015, to June 1, 2019. Interventions Cycles were divided into four groups according to the date of the beginning of ovulation induction: spring (659 cycles), summer (578 cycles), autumn (519 cycles), and winter (534 cycles). Results The high-quality embryo rate was higher in autumn and winter than in cycles in which ovulation induction occurred in spring and summer (58.70% vs. 58.78% vs. 62.67% vs. 63.42%; P < 0.001). The results of linear regression analysis showed that the high-quality embryo rate was significantly correlated with the daily average temperature of ovulation induction (P = 0.037). The clinical pregnancy rates of cycles starting ovulation induction in spring, summer, and autumn were significantly higher than those starting in winter (70.71% vs. 73.18% vs. 70.13% vs. 65.17%; P = 0.031), while the biochemical pregnancy rate, early abortion rate, and live birth rate were not significantly different (P > 0.050). Multivariate logistic regression analysis showed significant seasonal variation in clinical pregnancy (OR = 1.643, 95% CI = 1.203–2.243; P = 0.002), and that a higher daily average temperature at the time of ovulation induction increased the clinical pregnancy rate (OR = 1.012, 95% CI = 1.001–1.022; P = 0.031). Conclusions In women younger than 35 years who undergo IVF treatment, the season and ambient temperature on the date of the beginning of ovulation induction may have an impact on embryo development and clinical pregnancy.
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spelling doaj.art-98faf2719e07439eadc843fc68710b162022-12-22T02:48:45ZengBMCReproductive Biology and Endocrinology1477-78272022-08-0120111010.1186/s12958-022-00986-3Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, ChinaTing Chu0Di Wang1Ting Yu2Jun Zhai3Center for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCenter for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCenter for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityCenter for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou UniversityAbstract Objective To investigate whether seasonal variations and meteorological factors influence pregnancy outcomes in women undergoing in vitro fertilization-embryo transfer (IVF-ET) treatment. Design Retrospective cohort study. Setting University-affiliated reproductive medical center. Subjects Women aged < 35 years undergoing IVF from June 1, 2015, to June 1, 2019. Interventions Cycles were divided into four groups according to the date of the beginning of ovulation induction: spring (659 cycles), summer (578 cycles), autumn (519 cycles), and winter (534 cycles). Results The high-quality embryo rate was higher in autumn and winter than in cycles in which ovulation induction occurred in spring and summer (58.70% vs. 58.78% vs. 62.67% vs. 63.42%; P < 0.001). The results of linear regression analysis showed that the high-quality embryo rate was significantly correlated with the daily average temperature of ovulation induction (P = 0.037). The clinical pregnancy rates of cycles starting ovulation induction in spring, summer, and autumn were significantly higher than those starting in winter (70.71% vs. 73.18% vs. 70.13% vs. 65.17%; P = 0.031), while the biochemical pregnancy rate, early abortion rate, and live birth rate were not significantly different (P > 0.050). Multivariate logistic regression analysis showed significant seasonal variation in clinical pregnancy (OR = 1.643, 95% CI = 1.203–2.243; P = 0.002), and that a higher daily average temperature at the time of ovulation induction increased the clinical pregnancy rate (OR = 1.012, 95% CI = 1.001–1.022; P = 0.031). Conclusions In women younger than 35 years who undergo IVF treatment, the season and ambient temperature on the date of the beginning of ovulation induction may have an impact on embryo development and clinical pregnancy.https://doi.org/10.1186/s12958-022-00986-3IVFSeasonTemperatureEmbryonic developmentPregnancy outcome
spellingShingle Ting Chu
Di Wang
Ting Yu
Jun Zhai
Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
Reproductive Biology and Endocrinology
IVF
Season
Temperature
Embryonic development
Pregnancy outcome
title Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
title_full Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
title_fullStr Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
title_full_unstemmed Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
title_short Effects of seasonal variations and meteorological factors on IVF pregnancy outcomes: a cohort study from Henan Province, China
title_sort effects of seasonal variations and meteorological factors on ivf pregnancy outcomes a cohort study from henan province china
topic IVF
Season
Temperature
Embryonic development
Pregnancy outcome
url https://doi.org/10.1186/s12958-022-00986-3
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