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Related Concept Videos

In Vitro Fertilization01:24

In Vitro Fertilization

385
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
385

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Related Experiment Video

Updated: Sep 8, 2025

Human Blastocyst Biopsy and Vitrification
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Optimizing IVF lab workflows through data-driven insights: associations between lab management, procedural timings,

Federica Innocenti1, Greta Chiara Cermisoni1, Marilena Taggi1

  • 1IVIRMA Global Research Alliance, Genera, Clinica Valle Giulia, Rome, Italy.

Human Reproduction (Oxford, England)
|September 5, 2025
PubMed
Summary

Optimizing IVF success requires careful timing. Delays between ovulation trigger and oocyte denudation significantly decrease the mean blastulation rate (m-BR), especially beyond 40 hours, while lab workload does not impact outcomes.

Keywords:
blastulation ratekey performance indicatorslab managementlab workloadquality controlstandard operating procedures

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Area of Science:

  • Reproductive Medicine and Embryology
  • In Vitro Fertilization (IVF) Laboratory Science

Background:

  • Optimizing the mean blastulation rate per cohort (m-BR) is crucial for IVF success.
  • Standardized laboratory protocols are essential, but the impact of specific procedural timings and workload on m-BR remains unclear.
  • Previous research suggests potential negative effects of prolonged oocyte handling and organizational inefficiencies on embryo development.

Purpose of the Study:

  • To investigate whether IVF laboratory workflows, specifically workload and procedural timing, influence the mean blastulation rate per cohort (m-BR).
  • To identify critical time intervals within the IVF process that may impact blastocyst development.

Main Methods:

  • Retrospective analysis of 7986 intracytoplasmic sperm injection (ICSI) cycles from 2015-2022.
  • Data extracted from an Electronic Witnessing System to assess daily procedure volume and operator workload.
  • Evaluation of procedural timings, focusing on the interval between ovulation trigger and oocyte denudation, adjusted for confounders like maternal age and culture conditions.

Main Results:

  • No significant association was found between daily workload (total procedures or per operator) and m-BR.
  • Each additional hour in the interval from ovulation trigger to oocyte denudation (36-44 hours) was associated with a significant decline in m-BR, particularly beyond 40 hours.
  • A delay between oocyte retrieval and denudation (2-6 hours) was linked to a lower likelihood of obtaining at least one blastocyst.

Conclusions:

  • IVF laboratory performance, specifically m-BR, is highly sensitive to the timing of oocyte denudation post-ovulation trigger.
  • Lab workload does not appear to be a limiting factor for m-BR in high-volume settings.
  • Careful coordination of lab schedules to minimize delays in oocyte processing is critical for optimizing blastocyst development.