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Perinatal outcome of twin pregnancies after in vitro fertilization.
Acta Obstet Gynecol Scand. 2004 Nov; 83(11):1079-84.AO

Abstract

BACKGROUND

There are conflicting data concerning perinatal outcome of twin, in vitro fertilization (IVF) pregnancies. The aim of this study was to evaluate and compare perinatal and neonatal outcomes in twin IVF pregnancies to those of spontaneously conceived twin gestations.

METHODS

The medical files of 73 IVF and 148 naturally conceived twin pregnancies were studied retrospectively. Data concerning maternal characteristics, obstetric complications, and neonatal outcome were recorded and compared by chi2 test. The one-way analysis of variance (anova) was used to compare the means of groups.

RESULTS

Mean maternal age, the proportion of nulliparous women, and the incidence of premature rupture of membranes, cesarean section, and premature delivery were significantly higher in the study group. The mean birthweight was significantly lower, the frequency of admission to the intensive care unit and the duration of hospitalization were significantly higher in the study group. The incidence of intraventricular hemorrhage was significantly higher in the IVF group. The number of perinatal deaths was similar.

CONCLUSION

IVF twin pregnancies are at greater risk for obstetric complications and adverse neonatal outcome in comparison with naturally conceived twin gestations.

Authors+Show Affiliations

Department of Neonatology, University of Crete, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15488126

Citation

Manoura, Antonia, et al. "Perinatal Outcome of Twin Pregnancies After in Vitro Fertilization." Acta Obstetricia Et Gynecologica Scandinavica, vol. 83, no. 11, 2004, pp. 1079-84.
Manoura A, Korakaki E, Hatzidaki E, et al. Perinatal outcome of twin pregnancies after in vitro fertilization. Acta Obstet Gynecol Scand. 2004;83(11):1079-84.
Manoura, A., Korakaki, E., Hatzidaki, E., Bikouvarakis, S., Papageorgiou, M., & Giannakopoulou, C. (2004). Perinatal outcome of twin pregnancies after in vitro fertilization. Acta Obstetricia Et Gynecologica Scandinavica, 83(11), 1079-84.
Manoura A, et al. Perinatal Outcome of Twin Pregnancies After in Vitro Fertilization. Acta Obstet Gynecol Scand. 2004;83(11):1079-84. PubMed PMID: 15488126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perinatal outcome of twin pregnancies after in vitro fertilization. AU - Manoura,Antonia, AU - Korakaki,Eftyhia, AU - Hatzidaki,Eleftheria, AU - Bikouvarakis,Stylianos, AU - Papageorgiou,Maria, AU - Giannakopoulou,Christine, PY - 2004/10/19/pubmed PY - 2004/12/16/medline PY - 2004/10/19/entrez SP - 1079 EP - 84 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 83 IS - 11 N2 - BACKGROUND: There are conflicting data concerning perinatal outcome of twin, in vitro fertilization (IVF) pregnancies. The aim of this study was to evaluate and compare perinatal and neonatal outcomes in twin IVF pregnancies to those of spontaneously conceived twin gestations. METHODS: The medical files of 73 IVF and 148 naturally conceived twin pregnancies were studied retrospectively. Data concerning maternal characteristics, obstetric complications, and neonatal outcome were recorded and compared by chi2 test. The one-way analysis of variance (anova) was used to compare the means of groups. RESULTS: Mean maternal age, the proportion of nulliparous women, and the incidence of premature rupture of membranes, cesarean section, and premature delivery were significantly higher in the study group. The mean birthweight was significantly lower, the frequency of admission to the intensive care unit and the duration of hospitalization were significantly higher in the study group. The incidence of intraventricular hemorrhage was significantly higher in the IVF group. The number of perinatal deaths was similar. CONCLUSION: IVF twin pregnancies are at greater risk for obstetric complications and adverse neonatal outcome in comparison with naturally conceived twin gestations. SN - 0001-6349 UR - https://www.unboundmedicine.com/medline/citation/15488126/Perinatal_outcome_of_twin_pregnancies_after_in_vitro_fertilization_ L2 - https://doi.org/10.1111/j.0001-6349.2004.00623.x DB - PRIME DP - Unbound Medicine ER -