Duration of freezing embryos and perinatal outcomes

  • Research type

    Research Study

  • Full title

    The impact of duration of freezing of IVF embryos on pregnancy and perinatal outcomes – analysis of U.K. national data

  • IRAS ID

    326303

  • Contact name

    Edwin Amalraj Raja

  • Contact email

    amalraj.raja@abdn.ac.uk

  • Sponsor organisation

    University of Aberdeen

  • Duration of Study in the UK

    0 years, 11 months, 30 days

  • Research summary

    Objective: The aim of the study is to investigate an association between the duration of the embryo(s) storage and having a live birth as well as a healthy baby.

    Database: HFEA-linked data on all women who underwent IVF involving fresh and frozen embryos in the UK between 2000 and 2021 will be used. A unique number is given for each woman who undergoes IVF treatment. A complete cycle of IVF for each woman will be identified based on the woman’s ID and cycle ID.

    Ethical approval: Ethical approval will be obtained from an NHS Research Ethics Committee

    Population: All women who have undergone in-vitro fertilisation treatment in the UK and who have had at least one episode of a frozen embryo transfer will be included in the study. We will exclude those who have had IVF treatment before the age of 18 years old or after 50 years old.

    Exposure variable: The length of time an embryo was frozen (in months) will be calculated as the interval between the date of embryo freezing and the date of embryo transfer and will be used as a continuous and categorical variable in separate analyses.

    The Outcomes will be 1. Live birth 2. gestational age at birth 3. birthweight at delivery 4. birthweight adjusted for gestational age and gender 5. congenital anomaly.

    Statistical analysis
    A population-averaged model using Generalized Estimating Equations (GEE) will be used to explore associations between duration of embryo freezing and live birth and perinatal outcomes after frozen embryo transfer. The GEE will estimate the effect assuming an exchangeable correlation structure, and 95% Confidence Intervals (CI) estimated using robust standard errors.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    23/SC/0237

  • Date of REC Opinion

    7 Jul 2023

  • REC opinion

    Favourable Opinion