4.3 Article

A study of application effects of next-generation sequencing based preimplantation genetic testing for aneuploidies in advanced maternal age women

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ELSEVIER TAIWAN
DOI: 10.1016/j.tjog.2023.07.016

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Preimplantation genetic testing for; aneuploidy; Next-generation sequencing; Advanced maternal age; Pregnancy outcomes

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This study aimed to investigate if next-generation sequencing-based preimplantation genetic testing for aneuploidies (PGT-A) could improve pregnancy outcomes in women of advanced maternal age. The results showed that the PGT-A group had higher rates of biochemical pregnancy, clinical pregnancy, and live birth, as well as a lower abortion rate, compared to the non-PGT-A group.
Objective: To investigate if next-generation sequencing-based preimplantation genetic testing for an-euploidies could improve pregnancy outcomes in women of advanced maternal age.Materials and methods: A retrospective analysis. The clinical data of 1099 couples treated in the First Medical Center of the Chinese PLA General Hospital from January 2019 to December 2021 were analyzed. They were divided into two groups based on whether they underwent a Next-generation sequencing-based preimplantation genetic test for aneuploidies. We analyzed and compared the biochemical pregnancy rate, clinical pregnancy rate, abortion rate, and live birth rate between the two groups. Results: The Preimplantation genetic testing for aneuploidies (PGT-A) group was associated with higher rate of biochemical pregnancy and clinical pregnancy than the non-PGT-A group, which were 63.9% vs. 56.4% (P 1/4 0.009) and 54.4% vs. 45.6% (P < 0.001), respectively. The abortion rate was significantly lower in the PGT-A group compared to the non-PGT-A group (2.3% vs. 14.7%, P < 0.001). In addition, the live birth rate was significantly higher in the PGT-A group compared to the non-PGT-A group (52.1% and 30.9%, respectively, P < 0.001).Conclusion: Next-generation sequencing-based preimplantation genetic testing for aneuploidies significantly improved the pregnancy outcomes in women of advanced maternal age.(c) 2023 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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