- Demographic Data
- Pregnancy History
- Infertility Types, Duration, and Causes
- Hormones Before Oocyte Retrieval
- AFC
- Inclusion Criteria
- Exclusion Criteria
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Birth date (Year/Month/Day) |
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Maternal age |
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Maternal weight | kg |
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Maternal height | cm |
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Maternal BMI | kg/m^2 |
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Does the maternal partner currently smoke? | |
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Paternal age |
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Does the paternal partner currently smoke? |
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Does the femal partner have a history of pregnancy? | |
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If Yes, the total number of pregnancies? |
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If Yes, the total number of spontaneous abortions? |
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If Yes, the total number of induced abortions? |
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If Yes, the total number of live births? |
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History of pregnancies that are not among the above situations, please explain: |
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Infertility types | |
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Infertility duration (months) |
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Infertility causes | |
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Explain other infertility causes: |
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Date of testing (Year/Month/Day) |
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FSH | mIU/mL |
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LH | mIU/mL |
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E2 | pg/mL |
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PRL | ng/mL |
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T | ng/mL |
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P | ng/mL |
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AMH | ng/mL |
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Date of testing (Year/Month/Day) |
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AFC |
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Has the patient fully understood and signed an informed consent form for this study? | |
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Is the maternal age between 20 and 35 years old (including 20 and 35 years old)? | |
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Is the patient an infertile woman undergoing the first cycle of IVF-ET/ICSI-ET treatment? |
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Patients who have been planning to undergo preimplantation genetic testing | |
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Patients diagnosed with uterus abnormality: septate uterus, uterus unicorns, duplex uterus, etc. | |
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Patients who have intrauterine adhesions, intrauterine effusion, multiple endometrial polyps, submucosal uterine fibroids, or thin endometrium (endometrial thickness < 7mm on the day of embryo transfer) and other factors that affect embryo implantation | |
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Patients with a history of autoimmune or endocrine diseases: systemic lupus erythematosus (SLE), undifferentiated connective tissue disease (anti-ANA positive), hyperthyroidism, hypothyroidism, etc. | |
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At least one of the couple has contraindications to IVF or ICSI, such as poorly controlled type I or type II diabetes, liver disease or abnormal liver function of unknown cause, kidney disease or abnormal renal function, severe anemia, history of deep vein thrombosis, history of pulmonary embolism, |
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Date of testing (Year/Month/Day) |
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Endometrium pattern on HCG day |
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Endometrium thickness on HCG day | mm |
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P on HCG day | ng/mL |
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LH on HCG day | mIU/mL |
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E2 on HCG day | pg/mL |
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Date and time of oocyte retrieval (Year/Month/Day/Hour/Minute) |
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Total GN |
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Total number of retrieved oocytes |
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The number of MII |
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Is the number of oocytes obtained greater than or equal to 3? |
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Date and time of fertilization (Year/Month/Day/Hour/Minute) |
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Methods of fertilization | |
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Date and time of checking 2PN status (Year/Month/Day/Hour/Minute) |
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Number of 2PN fertilized oocytes |
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Patient embryos were cultured in a Time-lapse closed incubator on Day 0-Day 5 | |
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Perform fresh cycle Day 5 single blastocyst transfer and the number of usable blastocysts on Day 5 >= 2 | |
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The number of Day-5 usable blastocysts |
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Transfer date (Year/Month/Day) |
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Ultrasonic vision guidance | |
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Endometrium thickness on the day of blastocyst transfer | mm |
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Source of the transferred blastocyst (manual evaluation group or AI evaluation group)? | |
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The embryologist who evaluated and determined the transferred blastocyst? |
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The time used to determine the transferred blastocyst? | seconds |
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Well number of the blastocyst that was transferred |
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In the case of manual evaluation group, note the blastocyst grade |
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Orders of all blastocysts determined by AI, seperated by semicolon |
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Was the AI-selected blastocyst accepted by the embryologist? | |
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n the case of 'Reject', select the reasons | |
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Explain other reasons in detail |
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Date of visiting (Year/Month/Day) |
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Date of testing the biochemistry pregnancy (Year/Month/Day) |
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Serum or Urine hCG test | |
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In the case of serum hCG test, note the result | IU/L |
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Positive or negative |
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Date of visiting (Year/Month/Day) |
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Date of using ultrasound to test the clinical pregnancy |
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Result of the ultrasound test | |
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The number of gestational sac |
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The number of gestational sacs with fetal heart |
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In the case of pregnancy results not listed above, plese explain |
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Date of the visit (Year/Month/Day) |
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Date of the ultrasound test(Year/Month/Day) |
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Result of the ultrasound test | |
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In the case of pregnancy results not listed above, please explain |
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The number of live fetuses in the uterus? |
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Comments from researchers (e.g., any severe pregnancy complications) |
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Date of the visit (Year/Month/Day) |
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Date of the live birth (Year/Month/Day) |
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The number of baby boys |
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Weights of baby boys seperated by semicolons | kg |
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Heights of baby boys seperated by semicolons | cm |
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The number of baby girls |
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Weights of baby girls seperated by semicolons |
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Heights of baby girls seperated by semicolons |
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Comments from researchers (e.g., any severe pregnancy complications, birth defects, still births, etc.) |
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Date of the visit (Year/Month/Day) |
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Are there any postpartum complications? | |
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If Yes, please describe the test date and details |
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Comments from researchers (e.g., status of the babies) |
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