Cochrane · systematic review · CD001894

Assisted hatching on assisted conception (in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI))

Lacey, L, Hassan, S, Franik, S, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Gynaecology and Fertility2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 25%Low 3 · 75%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Assisted hatching compared to no assisted hatching for women undergoing assisted conception

Population: women undergoing assisted conception
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live births per woman randomised
Assisted hatching vs no assisted hatching
OR 1.09 [0.92, 1.29]14 studies · 2849 participantsLow
Downgraded: risk of bias, publication bias
Multiple pregnancy rate per woman randomised
Assisted hatching vs no assisted hatching
OR 1.38 [1.13, 1.68]18 studies · 4308 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Clinical pregnancy rate per woman randomised
Assisted hatching vs no assisted hatching
OR 1.2 [1.09, 1.33]39 studies · 7249 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Miscarriage rate per woman randomised
Assisted hatching vs no assisted hatching
OR 1.13 [0.82, 1.56]17 studies · 2810 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias