Objectives: Recently embryos that cleave early were found to result in higher pregnancy rates. In the present study we compared the progression of the cleavage stage embryos to the blastocyst stage, implantation, pregnancy and abortion rates between cycles with and without early cleaved embryos.Design: Prospective study.Materials and Methods: Embryo cleavage to the two-cell stage approximately 27 hours after insemination was defined as early cleavage. Early cleavage was observed in 48 of 78 cycles. Excess embryos were left in sequential media to observe the rate of blastocyst formation.Results: Implantation and pregnancy rates were significantly higher in the early cleavage group. Excess embryos derived from the pool showing at least one embryo with early cleavage progressed to the blastocyst stage at a significantly higher rate. Tabled 1No early cleavageEarly cleavagePNo of cycles3048Mean age of patients34.233.1NSMean no of oocytes11.912.8NSFertilization rate74.877.3NSEarly two cells025.6<0.05Clevage rate95.996.8NSNo of embryos transferred3.94.0NSImplantation rate5.117.9<0.01Clin pregnancy rate16.7%47.9%<0.05Abortion rate20%13%NSBlastocyst progression25%56.7%<0.05 Open table in a new tab Conclusion: These findings suggest that early clevage of embryos can be used as good marker of implantation potential of cleavage stage embryos. Furthermore, sibling embryos in the pool of embryos showing early cleavage progress to the blastocyst stage at a higher rate suggesting that the potential of the embryo is evident from the early stages of development. Objectives: Recently embryos that cleave early were found to result in higher pregnancy rates. In the present study we compared the progression of the cleavage stage embryos to the blastocyst stage, implantation, pregnancy and abortion rates between cycles with and without early cleaved embryos. Design: Prospective study. Materials and Methods: Embryo cleavage to the two-cell stage approximately 27 hours after insemination was defined as early cleavage. Early cleavage was observed in 48 of 78 cycles. Excess embryos were left in sequential media to observe the rate of blastocyst formation. Results: Implantation and pregnancy rates were significantly higher in the early cleavage group. Excess embryos derived from the pool showing at least one embryo with early cleavage progressed to the blastocyst stage at a significantly higher rate. Tabled 1No early cleavageEarly cleavagePNo of cycles3048Mean age of patients34.233.1NSMean no of oocytes11.912.8NSFertilization rate74.877.3NSEarly two cells025.6<0.05Clevage rate95.996.8NSNo of embryos transferred3.94.0NSImplantation rate5.117.9<0.01Clin pregnancy rate16.7%47.9%<0.05Abortion rate20%13%NSBlastocyst progression25%56.7%<0.05 Open table in a new tab Conclusion: These findings suggest that early clevage of embryos can be used as good marker of implantation potential of cleavage stage embryos. Furthermore, sibling embryos in the pool of embryos showing early cleavage progress to the blastocyst stage at a higher rate suggesting that the potential of the embryo is evident from the early stages of development.