title: Pregnancy following a difficult transfer: a case report.
abstract: Traumatic embryo transfers impact negatively on pregnancy rates. This study reports a clinical pregnancy obtained by transferring a blastocyst developed from a 72-h embryo, which had been retained on the catheter in a difficult transfer. A total of five oocytes was obtained from the 32-year-old patient in her first IVF treatment. Only one zygote and cleavage embryo resulted. A traumatic and bloody transfer was performed on day 3. The unique embryo was retained on the catheter. The embryo was left in culture medium until the blastocyst stage was achieved. A second transfer was performed and a successful pregnancy was achieved after transferring this blastocyst. A healthy baby was born. The results of the present report suggest that in cases of difficult transfers, waiting for the blastocyst stage might allow a second, non-traumatic transfer to be performed without embryos and cervix under the effects of stress.
authors.affiliation: Centro de Reproducción, 41 N masculine 485, La Plata (1900), Buenos Aires, Argentina. cenrepro@satlink.com
authors.forename: R
authors.initials: R
authors.lastname: Napolitano
authors.forename: A
authors.initials: A
authors.lastname: Alosilla Fonttis
mesh_terms: D000328:Adult; D004624:Embryo Transfer / Q000009:adverse effects*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy / Q000502:physiology*; D011256:Pregnancy Outcome; D019233:Retreatment