Cochrane · systematic review · CD003416

Number of embryos for transfer following in vitro fertilisation or intra‐cytoplasmic sperm injection

Kamath, MS, Mascarenhas, M, Kirubakaran, R, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 75%Moderate 2 · 25%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

Show all 2 versions

Repeated single embryo transfer (mixed policies) versus multiple embryo transfer in a single cycle of IVF or ICSI

Population: transfer following in vitro fertilisation or intracytoplasmic sperm injection
4 questions
OutcomeEffectEvidenceStatus / GRADE
Cumulative live birth
Repeated single embryo transfer (mixed policies) vs multiple embryo transfer
RR 0.95 [0.82, 1.1]4 studies · 985 participantsLow
Downgraded: risk of bias
Multiple pregnancy
Repeated single embryo transfer (mixed policies) vs multiple embryo transfer
odds ratio 0.13 [0.08, 0.21]4 studies · 985 participantsModerate
Downgraded: risk of bias
Clinical pregnancy rate
Repeated single embryo transfer (mixed policies) vs multiple embryo transfer
RR 0.95 [0.84, 1.08]3 studies · 943 participantsLow
Downgraded: risk of bias
Miscarriage rate
Repeated single embryo transfer (mixed policies) vs multiple embryo transfer
odds ratio 2.14 [0.93, 4.95]2 studies · 282 participantsLow
Downgraded: risk of bias, imprecision

Single compared to multiple embryo transfer in a single cycle following IVF or ICSI

Population: transfer following in vitro fertilisation or intracytoplasmic sperm injection
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth
Single vs multiple embryo transfer
RR 0.67 [0.59, 0.75]12 studies · 1904 participantsLow
Downgraded: risk of bias
Multiple pregnancy
Single vs multiple embryo transfer
odds ratio 0.16 [0.12, 0.22]13 studies · 1952 participantsModerate
Downgraded: risk of bias
Clinical pregnancy
Single vs multiple embryo transfer
RR 0.7 [0.64, 0.77]10 studies · 1860 participantsLow
Downgraded: risk of bias
Miscarriage rate
Single vs multiple embryo transfer
odds ratio 0.96 [0.66, 1.42]7 studies · 1560 participantsLow
Downgraded: risk of bias, imprecision