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Hum. Reprod. Advance Access published online on January 21, 2005

Human Reproduction, doi:10.1093/humrep/deh744
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Human Reproduction © European Society of Human Reproduction and Embryology 2005; all rights reserved
Received November 18, 2004
Revised December 13, 2004
Accepted December 14, 2004

Article

Single embryo transfer: a mini-review

Christina Bergh 1*

1 Department of Obstetrics and Gynaecology, Institute for Health of Women and Children, Sahlgrenska University Hospital, Göteborg, Sweden

* To whom correspondence should be addressed.
Christina Bergh, E-mail: christina.bergh{at}vgregion.se


   Abstract

This paper provides a concise review of single embryo transfer (SET) in cycles using fresh embryos as well as in cycles using frozen-thawed embryos. Relevant studies were identified by a computerized search in PubMed for the period 1995-2004. The pregnancy rates, delivery rates and multiple pregnancy/birth rates were evaluated after fresh or frozen embryo transfer as well as cumulative delivery rates after fresh and frozen SET. The results of four randomized controlled trials (RCT) and seven observational studies using fresh embryo transfers are analysed. No RCT with SET in freezing-thawing cycles was identified, while one observational study was identified. The effects of a change in the rules from the National Board of Health and Welfare in Sweden in 2003 regarding the implementation of SET in Sweden are summarized.

Keywords: frozen embryo transfer; multiple pregnancy; pregnancy rates; randomized controlled trials; single embryo transfer.
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