Factors Associated with In Vitro Fertilization Live Birth Outcome: A Comparison of Different Classification Methods

In vitro fertilization (IVF) is a useful assisted reproductive technology to achieve pregnancy in infertilecouples. However, it is very important to optimize the success rate after IVF by controlling for its influencing factors.This study aims to classify successful deliveries after IVF according to couples’ characteristics and available data onoocytes, sperm, and embryos using several classification methods. This historical cohort study was conducted in a referral infertility centre located inTehran, Iran. The patients’ demographic and clinical variables for 6071 cycles during March 21, 2011 to March20, 2014 were collected. We used six different machine learning approaches including support vector machine(SVM), extreme gradient boosting (XGBoost), logistic regression (LR), random forest (RF), naïve Bayes (NB),and linear discriminant analysis (LDA) to predict successful delivery. The results of the performed methods werecompared using accuracy tools. The rate of successful delivery was 81.2% among 4930 cycles. The total accuracy of the results exposed RFhad the best performance among the six approaches (ACC=0.81). Regarding the importance of variables, total numberof embryos, number of injected oocytes, cause of infertility, female age, and polycystic ovary syndrome (PCOS) werethe most important factors predicting successful delivery. A successful delivery following IVF in infertile individuals is considerably affected by the number ofembryos, number of injected oocytes, cause of infertility, female age, and PCOS.