PMID- 32928137 OWN - NLM STAT- MEDLINE DCOM- 20210607 LR - 20210607 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 20 IP - 1 DP - 2020 Sep 14 TI - Reference intervals of gestational sac, yolk sac, embryonic length, embryonic heart rate at 6-10 weeks after in vitro fertilization-embryo transfer. PG - 533 LID - 10.1186/s12884-020-03186-2 [doi] LID - 533 AB - BACKGROUND: Accurately determining the normal range of early pregnancy markers can help to predict adverse pregnancy outcomes. The variance in ovulation days leads to uncertain accuracy of reference intervals for natural pregnancies. While the gestational age (GA) is accurate estimation during in vitro fertilization-embryo transfer (IVF-ET). Thus, the objective of this research is to construct reference intervals for gestational sac diameter (GSD), yolk sac diameter (YSD), embryonic length (or crown-rump length, CRL) and embryonic heart rate (HR) at 6-10 gestational weeks (GW) after IVF-ET. METHODS: From January 2010 to December 2016, 30,416 eligible singleton pregnancies were retrospectively recruited. All included participants had full records of early ultrasound measurements and phenotypically normal live neonates after 37 GW, with birth weights > the 5th percentile for gestational age. The curve-fitting method was used to screen the optimal models to predict GSD, CRL, YSD and HR based on gestational days (GD) and GW. Additionally, the percentile method was used to calculate the 5th, 50th, and 95th percentiles. RESULTS: There were significant associations among GSD, CRL, YSD, HR and GD and GW, the models were GSD = - 29.180 + 1.070 GD (coefficient of determination [R(2)] = 0.796), CRL = - 11.960 - 0.147 GD + 0.011 GD(2) (R(2) = 0.976), YSD = - 2.304 + 0.184 GD - 0.011 GD(2) (R(2) = 0.500), HR = - 350.410 + 15.398 GD - 0.112 GD(2) (R(2) = 0.911); and GSD = - 29.180 + 7.492 GW (R(2) = 0.796), CRL = - 11.960 - 1.028 GW + 0.535 GW(2) (R(2) = 0.976), YSD = - 2.304 + 1.288 GW - 0.054 GW(2) (R(2) = 0.500), HR = - 350.410 + 107.788 GW - 5.488 GW(2) (R(2) = 0.911), (p < 0.001). CONCLUSIONS: Reference intervals for GSD, YSD, HR and CRL at 6-10 gestational weeks after IVF-ET were established. FAU - Ouyang, Yan AU - Ouyang Y AD - College of Life Science, Hunan Normal University, Changsha, China. AD - Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China. AD - Clinical Research Center For Reproduction and Genetics in Hunan Province, Changsha, China. FAU - Qin, Jiabi AU - Qin J AD - Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China. FAU - Lin, Ge AU - Lin G AD - Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China. AD - Clinical Research Center For Reproduction and Genetics in Hunan Province, Changsha, China. FAU - Xiang, Shuanglin AU - Xiang S AD - College of Life Science, Hunan Normal University, Changsha, China. FAU - Li, Xihong AU - Li X AUID- ORCID: 0000-0002-0986-760X AD - Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China. xihongliyxk@163.com. AD - Clinical Research Center For Reproduction and Genetics in Hunan Province, Changsha, China. xihongliyxk@163.com. LA - eng GR - 2019M652778/Postdoctoral Science Foundation of Jiangsu Province/ GR - C20180289/Health and Family Planning Commission of Sichuan Province/ GR - 2020JJ5992/the Natural Science Foundation of Hunan Province,China/ PT - Journal Article DEP - 20200914 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Adult MH - Birth Weight MH - Crown-Rump Length MH - *Embryo Transfer MH - Embryo, Mammalian/*anatomy & histology/*physiology MH - Female MH - *Fertilization in Vitro MH - Gestational Age MH - Gestational Sac/*anatomy & histology MH - Heart Rate/*physiology MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Trimester, First MH - Reference Values MH - Retrospective Studies MH - Time Factors MH - Yolk Sac/*anatomy & histology PMC - PMC7488996 OTO - NOTNLM OT - Crown-rump length OT - Embryonic heart rate OT - First trimester OT - Gestational sac OT - In vitro fertilization-embryo transfer OT - Reference interval OT - Yolk sac COIS- The authors declare that they have no competing interests. EDAT- 2020/09/16 06:00 MHDA- 2021/06/08 06:00 PMCR- 2020/09/14 CRDT- 2020/09/15 05:33 PHST- 2020/01/17 00:00 [received] PHST- 2020/08/17 00:00 [accepted] PHST- 2020/09/15 05:33 [entrez] PHST- 2020/09/16 06:00 [pubmed] PHST- 2021/06/08 06:00 [medline] PHST- 2020/09/14 00:00 [pmc-release] AID - 10.1186/s12884-020-03186-2 [pii] AID - 3186 [pii] AID - 10.1186/s12884-020-03186-2 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2020 Sep 14;20(1):533. doi: 10.1186/s12884-020-03186-2.