Evidence map›Paper›PMID 39443375›Full record

SynthesisArchives of gynecology and obstetrics2024

The effect of sequential embryo transfer on pregnancy outcomes in patients with recurrent implantation failure: a systematic review and meta-analysis of randomized controlled trials.

Saeed Baradwan, Majed Saeed Alshahrani, Hussein Sabban, Nabigah Alzawawi, Hanin Hassan Abduljabbar, Afnan Baradwan, Mohamed Anwar Haroun, Ahmed Alanwar, Mohamed Ali Mohamed, Yousef Mohamed El-Mazzally and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Saeed BaradwanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Majed Saeed AlshahraniDepartment of Obstetrics and Gynecology, Faculty of Medicine, Najran University, Najran, Saudi Arabia.
Hussein SabbanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Nabigah AlzawawiDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Hanin Hassan AbduljabbarDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Afnan BaradwanDepartment of Obstetrics and Gynecology, Al Salama Hospital, Jeddah, Saudi Arabia.
Mohamed Anwar HarounDepartment of Obstetrics and Gynecology, Faculty of Medicine, Modern University of Technology and Information, Cairo, Egypt.
Ahmed AlanwarDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed Ali MohamedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yousef Mohamed El-MazzallyDepartment of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed Mohamed AbdelhakimKasr Al-Ainy Faculty of Medicine, Cairo University, 395 Portsaid street, Bab el-Kalq, Cairo, 11638, Egypt. ahmed.m.rohei@students.kasralainy.edu.eg.ORCID 0000-0001-9579-8366
Yasser KhamisDepartment of Obstetrics and Gynecology, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of our study was to assess the impact of sequential embryo transfer on pregnancy outcomes among patients with recurrent implantation failure (RIF).

methodsWe conducted a comprehensive search across various databases for eligible clinical trials from inception to January 2024. Randomized controlled trials (RCTs) were included if they compared sequential embryo transfer, comprising both cleavage-stage and blastocyst-stage embryos, with other transfer protocols in infertile women with repeated implantation failure. Meta-analysis was performed using Revman software. Our primary focus was on the ongoing pregnancy rate. Our secondary measures included rates of chemical pregnancies, clinical pregnancies, miscarriages, and multiple pregnancies.

resultsSeven RCTs, encompassing 909 patients, met the inclusion criteria. Sequential embryo transfer demonstrated a significant increase in the ongoing pregnancy rate compared to the control group (OR = 2.28, 95% CI [1.46, 3.56], p = 0.003). Moreover, the sequential embryo transfer group exhibited notable improvements in chemical and clinical pregnancy rates. There were no statistically significant differences between the groups regarding multiple pregnancy and miscarriage rates (p > 0.05).

conclusionsSequential embryo transfer shows promise in enhancing pregnancy outcomes among RIF patients. However, additional trials are warranted to validate our findings.

Indexed as

Embryo ImplantationEmbryo TransferInfertility, FemalePregnancy RateAbortion, SpontaneousFemaleHumansPregnancyPregnancy OutcomeRandomized Controlled Trials as TopicTreatment FailurePregnancy outcomeRecurrent implantation failureRIFSequential embryo transfer

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.