User talk:Z3220343

The purpose of this article is to determine whether implantation of a ‘cleavage stage’(2-3 days) embryo is more likely to result in a live birth or if implantation should occur later when the embryo has reached the ‘blastocysts’ (5-6 days) stage of development. While there have been papers published on the success of ‘blastocysts’ implantation, it is noted that these trials were not randomised nor a consensus about the best practice for blastocyst culture. This paper delves into the results of a clinical randomised trial on blastocysts against cleavage stage. The merits found towards blastocysts are based on 2 arguments. 1. That most successful pregnancies in vivo, the embryo does not reach the uterus at day 3, which is the typical implantation time for cleavage transfer. 2. That blastocysts have higher implantation potential as the embryo have reach the blastocysts stage, have the most potential to survive. It is this second point, the one of self-selection which is seen a negative in the use of blastocysts implantation. This study found that although the live birth rate for the randomised controlled trail for blastocysts was a small but significant difference, the miscarriage rate between cleavage stage and blastocysts remained the same. On a whole this paper found that the benefits between cleavage stage and blastocysts are still unclear.

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links for leber congenital amaurosis [1]