Group Culture May Affect Embryo Quality in Assisted Reproduction Technology
Group Culture May Affect Embryo Quality in Assisted Reproduction Technology
One of the vital factors in achieving pregnancies in assisted reproductive technologies (ART)
 is maximizing embryo quality, which is significantly influenced by embryo culture conditions.
 A microwell culture system that facilitates group culture, improves embryonic development.
 The investigators use a new special culture dish to examine the effect of group culture on
 embryonic development in vitro. Zygotes derived from sibling oocytes were completely denuded
 from cumulus cells and spermatozoa, then randomly divided into conventional droplet culture
 or group culture. Embryos cultured in microwell system (group culture) were compared to
 conventional droplet culture (one zygote per drop). Relevant parameters are recorded to
 evaluate the validity of group culture in ART.
Providing optimal culture conditions for the embryos in ART is crucial, due to its high
 impact on embryo development and thus on the pregnancy outcome. Several strategies have been
 proposed in order to improve embryo culture conditions and clinical pregnancy rates.
 Currently, the establishment of autocrine and paracrine communications and embryo-to-embryo
 interactions should contribute to the detoxification of the culture medium, facilitating
 embryo development and improving the implantation rate. Many studies have provided evidence
 related to the impact of group culture condition on the success of the embryonic development
 in animals. But the advantage of group culture to improve the embryonic development and
 pregnancy outcomes of ART in human remains elusive. Therefore, the investigator aim to
 discuss the effectiveness of group culture in ART.

 In this study, zygotes derived from sibling oocytes were randomized 1:1 to either the
 microwell group culture (experiment group) or conventional droplet culture (control group).
 In experiment group, 4 zygotes cultured in a new special microwell (120 μl droplet were
 divided into 4 areas) with a corral dish (EMBC-010, LifeGlobal), embryos can communicate with
 each other in the same culture environment. In control group, single embryo individually
 cultured in a droplet (60 μl). Embryos were cultured in specific desktop three-gas incubators
 (COOK) of 37°C, 6% CO2 (carbon dioxide) , 5% O2 and 89% N2, and scored according to the
 criteria described in the ESHRE-ALPHA consensus. Consequently, exploitable embryos rate, good
 embryo quality, blastocyst formation rate were recorded. Other relevant parameters such as
 clinical pregnancy, live-birth or miscarriage were also recorded to evaluate the outcomes.
 Proper culture conditions can result in superior embryo viability, this research intends to
 discuss whether group culture can improve the embryo quality and clinical outcomes in ART.
Inclusion Criteria:

 -  Patients undergoing IVF/ICSI cycle.

 -  Number of oocytes≥ 8.

 Exclusion Criteria:

 -  Number of mature oocytes less than 6.

 -  The number of normal fertilized zygotes less than 4.