Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?

In animal studies, extensive data revealed the influence of culture medium on embryonic development, foetal growth and the behaviour of offspring. However, this impact has never been investigated in humans. For the first time, we investigated in depth the effects of embryo culture media on health, g...

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Main Authors: Bouillon, Céline, Léandri, Roger, Desch, Laurent, Ernst, Alexandra, Bruno, Céline, Cerf, Charline, Chiron, Alexandra, Souchay, Céline, Burguet, Antoine, Jimenez, Clément, Sagot, Paul, Fauque, Patricia
Format: Online
Language:English
Published: Public Library of Science 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805279/
id pubmed-4805279
recordtype oai_dc
spelling pubmed-48052792016-03-25 Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization? Bouillon, Céline Léandri, Roger Desch, Laurent Ernst, Alexandra Bruno, Céline Cerf, Charline Chiron, Alexandra Souchay, Céline Burguet, Antoine Jimenez, Clément Sagot, Paul Fauque, Patricia Research Article In animal studies, extensive data revealed the influence of culture medium on embryonic development, foetal growth and the behaviour of offspring. However, this impact has never been investigated in humans. For the first time, we investigated in depth the effects of embryo culture media on health, growth and development of infants conceived by In Vitro Fertilization until the age of 5 years old. This single-centre cohort study was based on an earlier randomized study. During six months, in vitro fertilization attempts (No. 371) were randomized according to two media (Single Step Medium—SSM group) or Global medium (Global group). This randomized study was stopped prematurely as significantly lower pregnancy and implantation rates were observed in the SSM group. Singletons (No. 73) conceived in the randomized study were included (42 for Global and 31 for SSM). The medical data for gestational, neonatal and early childhood periods were extracted from medical records and parental interviews (256 variables recorded). The developmental profiles of the children in eight domains (social, self-help, gross motor, fine motor, expressive language, language comprehension, letter knowledge and number knowledge – 270 items) were compared in relation to the culture medium. The delivery rate was significantly lower in the SSM group than in the Global group (p<0.05). The culture medium had no significant effect on birthweight, risk of malformation (minor and major), growth and the frequency of medical concerns. However, the children of the Global group were less likely than those of the SSM group to show developmental problems (p = 0.002), irrespective of the different domains. In conclusion, our findings showed that the embryo culture medium may have an impact on further development. Public Library of Science 2016-03-23 /pmc/articles/PMC4805279/ /pubmed/27008092 http://dx.doi.org/10.1371/journal.pone.0150857 Text en © 2016 Bouillon et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Bouillon, Céline
Léandri, Roger
Desch, Laurent
Ernst, Alexandra
Bruno, Céline
Cerf, Charline
Chiron, Alexandra
Souchay, Céline
Burguet, Antoine
Jimenez, Clément
Sagot, Paul
Fauque, Patricia
spellingShingle Bouillon, Céline
Léandri, Roger
Desch, Laurent
Ernst, Alexandra
Bruno, Céline
Cerf, Charline
Chiron, Alexandra
Souchay, Céline
Burguet, Antoine
Jimenez, Clément
Sagot, Paul
Fauque, Patricia
Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
author_facet Bouillon, Céline
Léandri, Roger
Desch, Laurent
Ernst, Alexandra
Bruno, Céline
Cerf, Charline
Chiron, Alexandra
Souchay, Céline
Burguet, Antoine
Jimenez, Clément
Sagot, Paul
Fauque, Patricia
author_sort Bouillon, Céline
title Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
title_short Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
title_full Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
title_fullStr Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
title_full_unstemmed Does Embryo Culture Medium Influence the Health and Development of Children Born after In Vitro Fertilization?
title_sort does embryo culture medium influence the health and development of children born after in vitro fertilization?
description In animal studies, extensive data revealed the influence of culture medium on embryonic development, foetal growth and the behaviour of offspring. However, this impact has never been investigated in humans. For the first time, we investigated in depth the effects of embryo culture media on health, growth and development of infants conceived by In Vitro Fertilization until the age of 5 years old. This single-centre cohort study was based on an earlier randomized study. During six months, in vitro fertilization attempts (No. 371) were randomized according to two media (Single Step Medium—SSM group) or Global medium (Global group). This randomized study was stopped prematurely as significantly lower pregnancy and implantation rates were observed in the SSM group. Singletons (No. 73) conceived in the randomized study were included (42 for Global and 31 for SSM). The medical data for gestational, neonatal and early childhood periods were extracted from medical records and parental interviews (256 variables recorded). The developmental profiles of the children in eight domains (social, self-help, gross motor, fine motor, expressive language, language comprehension, letter knowledge and number knowledge – 270 items) were compared in relation to the culture medium. The delivery rate was significantly lower in the SSM group than in the Global group (p<0.05). The culture medium had no significant effect on birthweight, risk of malformation (minor and major), growth and the frequency of medical concerns. However, the children of the Global group were less likely than those of the SSM group to show developmental problems (p = 0.002), irrespective of the different domains. In conclusion, our findings showed that the embryo culture medium may have an impact on further development.
publisher Public Library of Science
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805279/
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