The purpose of this study is to compare the live birth rates of high concentration of Hyaluronic Acid (0.5 mg/ml) transfer medium (EmbryoGlue®) to those containing low Hyaluronic Acid concentrations (0.125 mg/ml) (G2 medium) in women undergoing single fresh and frozen blastocyst transfer.
The single blastocyst-stage embryo transfer cycles will be randomised in a 1:1 allocation, with block sizes of 2 and 4 on the day of Embryo Transfer (ET). This randomisation process will be centrally managed via a web-based electronic data capture system and will be stratified according to the treatment center. The allocation sequence and the designated treatment will be completely concealed from the participating couples, clinicians - including those conducting the transfer procedures - and outcome assessors. Given the intrinsic viscous nature of EmbryoGlue, embryologists, who who are responsible for the procedures in the laboratory will not be subjected to blinding. Only at the end of the study, when data collection is completed, the allocation sequence will be revealed to the primary investigators.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
858
Hyaluronic Acid(EmbryoGlue®)
Hyaluronic Acid (G2 medium)
IVF laboratory
Xi'an, Shaanxi, China
RECRUITINGLive birth rate
The primary outcome was Live birth rate per embryo transfer.
Time frame: Live birth is defined as the birth of at least one live baby after 24 weeks of gestation.
Biochemical pregnancy
Biochemical pregnancy is defined as serum beta-human chorionic gonadotropin β-hCG \> 20 IU/L 12 days after embryo transfer.
Time frame: 12 days after embryo transfer.
Clinical pregnancy
Clinical pregnancy is defined as the presence of at least one gestational sac confirmed by ultrasonography (ectopic pregnancy is included as a clinical pregnancy).
Time frame: 6-8 weeks after embryo transfer
Ongoing pregnancy
Ongoing pregnancy is defined as the presence of a gestational sac and fetal heartbeat after 12 weeks of gestation.
Time frame: after 12 weeks of gestation.
Miscarriage
Miscarriage is defined as spontaneous loss of an intrauterine pregnancy before 20 completed weeks of gestation.
Time frame: 20 weeks of gestation.
Ectopic pregnancy
Ectopic pregnancy is defined as a pregnancy implanted outside the uterine cavity, diagnosed by ultrasonography, surgical visualization, or histopathology.
Time frame: After 4 to 6 weeks of embryo transfer
Multiple pregnancy
Multiple pregnancy is defined as a pregnancy with two or more gestational sacs or fetal heartbeats at 7 weeks of gestation.
Time frame: 7 weeks of gestation.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
hypertensive disorders in pregnancy
Comprising essential hypertension; pregnancy induced hypertension; pre-eclampsia and eclampsia.
Time frame: From 20 weeks of gestation up to at birth
Placental implantation disorders
Placental implantation disorders encompass placenta previa, placenta accreta spectrum, placental abruption and/or abnormal cord insertion
Time frame: From 20 weeks of gestation up to at birth
Preterm birth
Delivery of a fetus at less than 37 and more than 28 weeks gestational age
Time frame: At birth
Preterm premature rupture of membranes
Preterm premature rupture of membranes is defined as the leakage of amniotic fluid through the cervical os before 37 weeks of gestation and before the onset of labor
Time frame: Before 37 weeks of gestation and before the onset of labor
Mode of delivery
Vaginal delivery or cesarean delivery
Time frame: At birth
Gestational age
Gestational age recorded at delivery
Time frame: At birth
Birth weight
Weight of baby born (grams)
Time frame: At birth
low birth weight
Weight of baby born \< 2500 g
Time frame: At birth
Very low birth weight
Weight of baby born \< 1500 g
Time frame: At birth
Mean birth weight
By checking medical records
Time frame: 1 year after embryo transfer
Macrosomia
Weight of baby born \> 4000 g
Time frame: At birth
Large for gestational age
Birthweight \> 90th percentile
Time frame: At birth
Small for gestational age
Birthweight \< 10th percentile
Time frame: At birth
Neonatal intensive care unit admission
Safety outcome. Number of pregnancies for which newborn is admitted to the NICU
Time frame: Birth up to 1 year
Stillbirth or late fetal death
Fetal death at 20 or more weeks' gestation
Time frame: At birth
Early neonatal death
Time frame: Up to 28 days after birth
Congenital anomaly or birth defect
Any congenital anomalies detected in baby born
Time frame: Birth to first year of life