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There is not yet a standardized system of human embryonic culture in vitro. In addition, technical improvements continually appear. The investigators recently carried out a study in which it shows that the grouped embryo culture at low oxygen tension (5% O2) in a benchtop incubator shows better success rates than individual culture at atmospheric oxygen tension (20% O2) in a conventional incubator. For these reasons, the investigators have decided to continue this research line to evaluate the efficacy of a new ART station with a closed environment in comparison of an open flow cabinet. This new system keeps a controled environment maintaining a carbon dioxide (CO2) concentration of 6% and a temperature of 37 degrees. A prospective randomized study will be carried out in which the manipulation of the gametes and pre-embryos of the patients will be carried out in open laminar flow cabinets or in a closed station that maintain the CO2 and temperature conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Closed Station | Experimental | Embryo handling is performed inside a closed station with a controlled environment: 6% CO2 and 37 degrees. |
|
| Open flow cabinet | No Intervention | Embryo handling is performed inside a conventional open flow cabinet without a controlled environment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Embryo handling in a closed station | Other | Embryo handling is performed inside a closed station with a controlled environment: 6% CO2 and 37 degrees. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Embryo quality | Rate of viable embryos = Transferred and Frozen embryos / Total number of embryos obtained | Through study completion, an average of two years |
| Measure | Description | Time Frame |
|---|---|---|
| Live birth rate per first embryo transfer | Total number of live births over the total of recruited patients (taking into account only the first cycle) | Through study completion, an average of two years |
| Cumulative live birth rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IVI Sevilla | Seville | 41011 | Spain |
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Total number of live births over the total of recruited patients (taking into account fresh and cryopreserved cycles)
| Through study completion, an average of two years |
| Implantation rate | Total of implanted embryos / total of transferred embryos | Through study completion, an average of two years |
| Live birth rate of the first cycle per transferred embryo | Total number of live births over the total of transferred embryo | Through study completion, an average of two years |