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Table 1 Characteristics of included studies

From: Which is better for mothers and babies: fresh or frozen-thawed blastocyst transfer?

Author Year

Patients

Age (fresh/frozen)

Numbers of patient (fresh/frozen)

Design

Duration of trial

Outcomes

Aflatoonian 2010a [12]

Patients who were classified as high responders

28.1 ± 3.5/27.3 ± 4.4

187/187

Prospective RCT

Feb 2007 to Feb 2009

IR, CPR, MR, MPR, OPR

Aflatoonian 2010b [13]

Pregnancies after fresh ET vs. FET

29.9 ± 4.7/30.4 ± 4.5

500/200

Prospective RCT

Mar 2006 to Mar 2008

MR, LBR, PR, EPR, PTD, LBW,

Aghahosseini 2017 [14]

Infertile women with P ≥ 1.8 ng/dl

32.8 ± 5.8/30.5 ± 4.7

36/36

RCT

Jan to Apr 2016

CPR, MR, LBR, PR

Ainsworth 2019 [15]

Women who underwent fresh or FET at the Mayo Clinic

33.4 ± 4.4 /32.9 ± 3.6

87/ 49

Retrospective cohort study.

2010 to 2014

PPH, PE, SGA, GDM, PROM, PTD

Badalotti 2019 [16]

An assisted reproduction clinic in Brazil

No statement

1443/ 486

Retrospective case-control study

2010 to 2019

SGA, PTD, LBW, VLBW

Beltrananzola 2019 [17]

Infertile-couples undergoing IVF or IVF-ICSI

No statement

1857/ 352

Retrospective cohort study.

1995 to 2015.

GDM,hyper, Preterm, Very preterm,

Belva 2008 [18]

All pregnancies after transfer of FET

No statement

6402/1351

Unmatched cohort study

No statement

MR, MPR, LBR, OPR, PR, EPR, LBW, Stil

Bourdon 2018 [19]

Women with endometriosis infertile

34.3 ± 3.9/34.3 ± 4.1

135/135

Retrospective matched cohort study

Oct 2012 to Dec 2014

LBR, MPR, OPR

Cavoretto2020 [20]

Women undergoing fresh ET or FET

35.9 ± 3.9/34.9 ± 5.1

164 / 203

Prospective longitudinal study

Jan 2016 to Dec 2018

GDM, PTD, PE, SGA, LGA

Chen 2016 [21]

Infertile women with PCOS

28.2 ± 3.1/28.1 ± 3.0

762/746

Retrospective matched cohort study

Jun 2013 to May 2015

CPR, MR, LBR, OPR, PR, OHSS, PTD, PIH, Stil

Coates 2017 [22]

Patients undergoing IVF treatment using preimplantation genetic screening

36.6 (25–42)/ 36.7 (27–42)

88/91

RCT

Dec 2013 to Aug 2015

IR, MPR, LBR, OPR

Eum 2016 [23]

Women who underwent one or two fresh ET or FET

Using a cutoff of 35 years

69/206

Retrospective study

Jan 2013 to Dec 2014.

IR, CPR, MR, LBR, MPR

Fauque 2010 [24]

Women with adequate ovarian function

<  36 years

No statement

Prospective NRCT

2005 to 2007

CPR, MR, LBR, MPR, EPR.

Feng 2012 [25]

Women with various infertile causes

31.02 ± 3.69/ 31.60 ± 3.56

604/ 384

Retrospective study

Jan 2009 to Dec 2010

IR, CPR, MR, LBR, MPR, EPR, PTD, LBW, Stil, NM

Ferraretti 1999 [26]

Patients at risk of OHSS

31.46 ± 2.4/ 31.66 ± 2.8

67/58

Prospective RCT

Jan 1996 to Jul 1997

CPR, LBR, PR

Ginström 2019 [27]

Singletons born after in Sweden

34.9 ± 5.2 /34.1 ± 4.3

9726/24,365

Retrospective cohort study

2005 to 2015

GDM, PP, PA, PPH, PIH,

Healy 2010 [28]

Women with singleton births in Victoria Australia

No statement

4058/2045

Retrospective cohort study

1991 to 2004

PP, PA, PH

Henningsen 2011 [29]

Singleton born after fresh ET or FET

No statement

716/716

Retrospective cohort study

1994 to 2008

LBW

Henman 2005 [30]

Patients with three or more usable blastocysts

< 38 years

121/156

Prospective study

Apr 2000 to Dec 2001

IR, CPR, LBR, MPR

Hwang 2019 [31]

Singleton infants born to Massachusetts women who conceived by fresh or FET

No statement

12,390/ 2101

Retrospective cohort study.

July 2004, to Dec 2013

Preterm, LGA, SGA, LBW, Birth defects

Ishihara 2014 [32]

Women undergoing SET

Any age

33,559/118866 (5981/27408 singletons)

Retrospective study

2008 to 2010

CPR, MR, MPR, EPR, PP, PA, PIH, LGA, SGA, LBW, HBW, Stil

Johnson 2019 [33]

Women who underwent an autologous IVF cycle

35.8 (32.8–38.8)/36.3 (33.0–39.8)

1861/ 271

Retrospective cohort study

Jan 2000 to Jun 2015

SGA, PA

Korosec 2007 [34]

Women undergoing SET

< 37 years

65/214

Prospective study

Apr 2004 to Jun 2006

CPR

Le 2018 [35]

Non-PCOS women undergoing IVF/ICSI

Any age

391/391

RCT

Jun to Apr 2015

MR, LBR, EPR, GDM, PIH

Liu 2019 [36]

Women with 3 and 10 oocytes retrieved underwent fresh or FET

< 40 years

495/ 935

Retrospective cohort study

Jan 2015 to Jan 2019

CPR, MR, EPR

Magdi 2017 [37]

Women with recurrent implantation failure

<38 years

90/81

Prospective cohort study

Apr 2014 to Oct 2016

IR, CPR, MR, MPR, OPR, PR,

Maheshwari 2016 [38]

Singleton births after IVF/ICISI in the UK

Any age

95,911/16521

Retrospective cohort study

1991 to2011

PTD, LBW, HBW, NM

Martikainen 2001 [39]

Women with at least four good quality embryos

No statement

74/74

RCT

No statement

CPR, MR, LBR, EPR

Martikainen 2004 [40]

Women in the first or second treatment cycle when a top-quality embryo is available

<36 years

308/311

Retrospective cohort study

2000 to 2002

CPR, MR, MPR, LBR, OPR, EPR

Mizrachi 2019 [41]

Women with singleton IVF pregnancies who delivered

33.8 ± 5.5 /32.2 ± 5.2

74/57

Prospective cohort study

Dec 2017 to May 2019.

GDM, PE, PROM, SGA, LBW

Pelkonen 2010 [42]

Women underwent ART with ET leading to birth

Any age

3298/1852

Unmatched cohort study

1995 to2006

PP, PA, PH, PTD, LGA, LBW, SGA, Sti

Pelkonen 2014 [9]

Women underwent ART with ET leading to singleton births

Any age

2942/1830 (Singleton births)

Register-based cohort study

1995 to 2006

Major congenital anomalies

Pelkonen 2015 [43]

Women underwent ART with ET leading to singleton births

Any age

2933/1825

Register-based cohort study

1995 to 2006.

PTD, LGA, SGA, LBW, NM

Pinborg 2010 [44]

All singletons who according to the Danish IVF Register

Any age

10,392/5979

Retrospective cohort study

1995 to 2007

LBW, PTD, Stil, NM

Roy 2014 [45]

Infertile patients who underwent fresh ET or FET

No statement

1157/645

Retrospective study.

Mar2010 to Nov 2011

CPB, MR, LBR, PR, PTD, LBW

Serkan 2020 [46]

Infertile patients with various infertility etiology for IVF with fresh ET and sFET

18–42 years

620 /580

Retrospective cross-sectional study

Jun 2015 to May 2018

PR, CPR, MR, EPR, LBR

Shapiro 2011a [47]

Patients with first-time IVF cycle day 3 FSH < 10 mIU/mL and 8–15 antral follicles

<41 years

53/50

RCT

No statement

IR, CPR, MR, MPR, OPR, PR

Shapiro 2011b [48]

Patient must be undergoing her first IVF cycle; cycle day 3 FSH < 10 IU/L; and > 15 antral follicles

No statement

62/60

RCT

No statement

IR, CPR, MR, MPR, OPR, PR.

Shapiro 2013 [49]

Women with SET.

33.8 ± 4.7/33.8 ± 4.7

93/93

Matched cohort study.

Dec 2003 to Dec 2011

CPR, MR, MPR, OPR, PR

Shavit 2017 [6]

Singletons born after f fresh or FET

Any age

1886/1220

Retrospective cohort study

Dec 2008 to Dec 2012

CPR, MR, PA, PTD, GDM, PIH, LGA, SGA, LBW, HBW, NM

Shih 2008 [50]

Neonatal perinatal statistics unit Australia

Any age

3110/2387

Matched cohort study

1978 to 2005

PTD, LBW, NM

Vuong 2016 [51]

Non-PCOS infertile couples undergoing IVF/ICSI

No statement

391/391

RCT

No statement

MPR, LBR, MPR, OPR, EPR

Vuong 2018 [52]

Non-PCOS infertile women who were undergoing a first or second IVF cycle 3

32 ± 4 /32 ± 4

391/391

RCT

No statement

IR, CPR, MR, MPR, LBR, OPR, EPR,

Walls 2014 [53]

Women with PCOS.

Any age

122/179

Retrospective case–control study

Mar 2007 to Dec 2012.

CPR, MR, LBR, PR

Wang 2005 [54]

Infants conceived through ART procedures and born in Australia

Any age

7676/3824

Retrospective cohort study

1996 to 2000

LBW.

Wei 2019 [7]

Women with regular menstrual cycles undergoing their first cycle of in-vitro fertilization

28.8 (3.0) / 28·8 (3.0)

825/825

RCT

Aug 2016, to Jun 2017

R, CPR, MR, MPR, LBR, OPR, PR, EPR, PP, PH, PTD, GDM, PIH, LGA, SGA, NM

Wennerholm 1997 [55]

Birth after IVF with cryopreserved–thawed embryos in Sweden

34.0 ± 3.1/ 33.6 ± 3.3

209/209

Matched cohort study

Jun1990 to Jul 1995

PH, PTD, GDM, PIH, LBW

Wennerholm 2013 [56]

Singletons conceived after FET in Denmark, Norway and Sweden

33.3 ± 4.0/33.7 ± 3.9

42,242/6647

Retrospective cohort study

Until Dec 2007

PTD, LGA, SGA, VSGA, LBW, HBW,

Wikland 2010 [57]

Children born after vitrified BTor fresh BT

34.7 (22.0–44.0)/35.4 (26.3–45.3)

203/103

Retrospective cohort study

Jan 2006 to May 2008

MR, LBR, PR, EPR, PP, PA, GDM, PIH, LGA, SGA, LBW,

Wu 2014 [58]

High responder patients diagnosed as primary infertility with more than 15 oocytes retrieved

29.02 ± 2.87/ 29.05 ± 2.48

50/69

Retrospective cohort study

Jan to Nov 2012

IR, CPR, MPR,

Wu 2019 [59]

Patients with advanced endometriosis undergoing first embryo transfer cycles

No statement

255/ 506

Retrospective cohort study

Mar 2006 to Mar 2017

IR, CPR, MR, EPR, LBR, PTD, VPTD, LBW, VLBW

Xiong 2019 [60]

Women who underwent fresh or frozen ET

33.39 ± 3.75 /34.07 ± 4.14

101/ 179

Retrospective cohort study.

Aug 2014 to Jul 2017.

PR, IR, CPR, MR, MPR, OPR, LBR, SGA, LGA,

Yang 2015 [61]

Patients with P > 6 nmol/L on the HCG day in IVF/ICSI cycle

Between 20 and 40 years

43/42

Retrospective cohort study

Mar 2011 to Mar 2012

IR, CPR, LBR, PR,

Zhang 2018 [62]

Women with PCOS

28.1 ± 3.1/28.4 ± 2.9

212/250 (singletons)

Retrospective cohort study

Jun 2013 to Jul 2015

GDM, PE, PTD, LGA, SGA

  1. ET Embryo transfer; FET Frozen embryo transfer; IVF In vitro fertilization; ICSI Intracytoplasmic sperm injection; PCOS Polycystic ovary syndrome; RCT Randomized controlled trial; OHSS Ovarian hyper-stimulation syndrome; SET Single embryo transfer; P Progesterone; ART Assisted reproductive technology; IR Implantation rate; PR Pregnancy rate; OPR Ongoing pregnancy rate; EPR Ectopic pregnancy rate; LBR Live birth rate; MR Miscarriage; MPR Multiple pregnancy rate; PH Postpartum haemorrhage; PA Placental abruption; PP Placenta previa; PTD Preterm delivery; VPTD Very preterm delivery; PROM Preterm rupture of membrane; NM Neonatal mortality; PM Perinatal mortality PE Pre-eclampsia; PIH Pregnancy-induced hypertension; LGA Large for gestational age; SGA Small for gestational age; VSGA Very small for gestational age; HBW High birth weight; VHBW Very high birth weight; LBW Low birth weight; VLBW Very low birth weight; Stil Stillbirth; BD Birth defects