Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2002-12-9
pubmed:abstractText
Knowledge of the nature of embryo growth, and the handling and scoring of quality in human embryos are significant aspects for embryologists in IVF clinics. This review describes the formation, growth and maturation of human oocytes, many aspects of fertilization in vitro, embryonic transcription during preimplantation stages, and the formation of polarities, timing controls, role of mitochondria and functions of endocrine and paracrine systems. Modern concepts are fully discussed, together with their significance in the practice of IVF. This knowledge is essential for the correct clinical care of human embryos growing in vitro, especially in view of their uncharacteristic tendency to vary widely in implantation potential. Underlying causes of such variation have not been identified. Stringent tests must be enforced to ensure human embryos develop under optimal conditions, and are scored for quality using the most advanced techniques. Optimal methods of culture are described, including methods such as co-culture introduced to improve embryo quality but less important today. Detailed attention is given to quality as assessed from embryonic characteristics determined by timers, polarities, disturbed embryo growth and anomalous cell cycles. Methods for classification are described. Approaches to single embryo transfers are described, including the use of sequential media to produce high-quality blastocysts. These approaches, and others involved in surgical methods to remove fragments, transfer ooplasm or utilize newer approaches such as preimplantation diagnosis of chromosomal complements in embryos are covered. New outlooks in this field are summarized.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1472-6483
pubmed:author
pubmed:issnType
Print
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
328-50
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12470535-Animals, pubmed-meshheading:12470535-Blastocyst, pubmed-meshheading:12470535-Cell Division, pubmed-meshheading:12470535-Cleavage Stage, Ovum, pubmed-meshheading:12470535-Cryopreservation, pubmed-meshheading:12470535-Culture Media, pubmed-meshheading:12470535-Embryo Transfer, pubmed-meshheading:12470535-Embryonic and Fetal Development, pubmed-meshheading:12470535-Female, pubmed-meshheading:12470535-Fertilization in Vitro, pubmed-meshheading:12470535-Hormones, pubmed-meshheading:12470535-Humans, pubmed-meshheading:12470535-Male, pubmed-meshheading:12470535-Maternal-Fetal Exchange, pubmed-meshheading:12470535-Mice, pubmed-meshheading:12470535-Mitochondria, pubmed-meshheading:12470535-Morula, pubmed-meshheading:12470535-Oocytes, pubmed-meshheading:12470535-Ovarian Follicle, pubmed-meshheading:12470535-Pregnancy, pubmed-meshheading:12470535-Preimplantation Diagnosis, pubmed-meshheading:12470535-Sperm-Ovum Interactions, pubmed-meshheading:12470535-Transcription, Genetic
pubmed:articleTitle
Fundamentals of human embryonic growth in vitro and the selection of high-quality embryos for transfer.
pubmed:affiliation
Reproductive Medicine Service, Department of Obstetrics and Gynaecology, Institut Universitari Dexeus, Paseo Bonanova 89-91, Barcelona, 08017, Spain.
pubmed:publicationType
Journal Article, In Vitro, Review