EFFECT OF TOTAL VERSUS PARTIAL ASSISTED HATCHING ON THE CLINICAL PREGNANCY RATES IN ASSISTED REPRODUCTION TECHNOLOGY

BULENT EMRE BILGIC, ENİS OZKAYA, CİGDEM YAYLA ABIDE, SEMRA KAYATAS ESER, ILHAN SANVERDI, TAYFUN KUTLU

Gynecology Obstetrics & Reproductive Medicine - 2019;25(1):22-27

Department of Embryology, Zeynep Kamil Women and Children’s Health Training and Research Hospital, Istanbul Turkey

 

OBJECTIVE: The objective of this study was to investigate the effect of total or partial assisted hatching on the clinical pregnancy rates in assisted reproduction technology. STUDY DESIGN: This was a case-control study conducted from the beginning of January 2016 to the end of June 2017. A total of 404 cycles were included in this case-control study. Study population was divided into 3 groups: Group 1: Partial assisted hatching (n=118), Group 2: Total assisted hatching (n=81) and Control group (n=205). RESULTS: In women of all ages, clinical pregnancy rates were similar between groups with total or partial assisted hatching compared to control group (p>0.05). The rates were also similar in subgroups of women with blastocyst or cleavage stage embryo transfers (p>0.05). Partial or total embryo hatching did not result in favorable outcome compared to the control group either in women over 35 or younger than 35 years of age (p>0.05). In whole study group, pregnancy rate was significantly higher in the group with blastocyst stage embryo transfers (22.4 % versus 48.8%, p<0.05). CONCLUSION: Partial or total assisted hatching do not have any impact on the clinical pregnancy rates, no significant impact was determined in the subgroup of women either.