Day 5 blastocysts - concerns?

[Anonymous]

Anonymous wrote:

Anonymous wrote:My clinic would only transfer blastocysts. Wish they had given me the option to transfer D3. My day 6 blastocyst is currently sleeping in my arms. she was delivered at 37 weeks because I had a prior myomectomy but she would have stayed in longer if they would have let her

Not sure if you will see this again- but was the 37 week bc of the myomectomy firm? I am 13w, had a myomectomy last year and have been told the same, but am wondering if some OBs will consider pushing to 38 weeks if there are no other risks for early labor. thank!

They actually did 37 weeks 1 day. They were firm but I think it really depends on whether they entered the uterus during the myomectomy. This increases the risk of rupture in subsequent pregnancy. They did with me and that makes the 37 week recommendation stronger. If they never entered the uterus some doctors might feel more comfortable pushing it later. Personally, I was not happy to be delivered that early but 2 different MFMs plus the gynecologist who removed the fibroid recommended it and I didn't push back at all. Their goal is to deliver before someone goes into labor.

[Anonymous]

My day 6 blasts are now 11 and thriving, smart, healthy, great kids.

I carried them to 37wks 2 days when my OB insisted that was enough. Healthy pregnancy, well managed/calm birth, healthy kids, we all went home together, all is well.

Good luck OP!!

[Anonymous]

Anonymous wrote:Hi, may be not worth dithering over, but Columbia Fertility includes in the agreement to transfer Day 5 blastocysts, saying there isn't enough reliable data to demonstrate poorer health outcomes for children born of Day 5 blastocysts compared to Day 3 embryos, but the risks "cannot be dismissed." I'm worried (eggs are being fertilized right now so I literally have 24 hours to make a decision). I see some longitudinal studies (all from Europe that I can see) showing slightly increased risks for Day 5s v. Day 3s of 1) preterm delivery 2) higher birthweights (too high) 3) congenital abnormalities and 4) identical twins. I'm most concerned, as I think most would be with congenital abnormalities. Any (constructive) thoughts/dialogue sought!

FWIW, I know Day 5s have a higher chance of resulting in a live birth - that's not my question here - my concerns are around health of the human born of such a transfer.

Two normal deliveries at 39 weeks, both kids perfectly healthy (that we know of, kids are 5 and 3) from 5 day blastocysts. Weights were around 7 lbs, no complications during pregnancy.

[Anonymous]

Aren’t 5 day transfers standard practice now due to better outcomes? In any event, my 5 day embryo is now our joyful six month old. Had an easy delivery at 40 weeks, 3 days and pregnancy was uneventful, save for bad morning sickened the first few months. Birth weight was normal.

[Anonymous]

Yes 5-day is standard nowadays. I only made 6-days but he was born at 39 weeks 4 days and 7 lbs.