Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous

BACKGROUND AND OBJECTIVE: Pregnancy, neonatal and fetal complications are higher in twin than singleton pregnancy. Considering use of assisted reproductive technology (ART) and twin births is increased, the aim of this study was to compare the complications in spontaneous vs. assisted conception twi...

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Autores principales:	SH Barat, Z Basirat, Z Bouzari, SH Yazdani, M Zarinkamar Roodbari
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2009
Materias:	assisted reproductive technology maternal morbidity fetal morbidity spontaneous twin pregnancies Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9643709dc6f64788921019b045ed1e2d
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spelling	oai:doaj.org-article:9643709dc6f64788921019b045ed1e2d2021-11-10T09:02:43ZComparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous1561-41072251-7170https://doaj.org/article/9643709dc6f64788921019b045ed1e2d2009-06-01T00:00:00Zhttp://jbums.org/article-1-3128-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Pregnancy, neonatal and fetal complications are higher in twin than singleton pregnancy. Considering use of assisted reproductive technology (ART) and twin births is increased, the aim of this study was to compare the complications in spontaneous vs. assisted conception twin pregnancies for recognition of high risk mothers and prevention and treatment of them as soon as possible.METHODS: This analytical study was performed on 40 assisted conception twin pregnancies and 80 pregnant women with spontaneous twin pregnancies. Two groups were matched for age. Maternal morbidity (preeclampsia, preterm delivery) and neonatal complications (Intra uterine growth restriction and low birth weight) were recorded and compared.FINDINGS: Mean gestational age in spontaneous pregnancy was 34.4±3.2 weeks and in ART pregnancy was 33.7±2.1 weeks that showed no significant difference. Gestational diabetes was in 13 versus 8 cases (p=0.004), intrauterine growth restriction in 3 cases versus 0 (p=0.035) and transfer to neonatal intensive care unit 30 cases versus 26 (p=0.000) in ART pregnancy and spontaneous, respectively. Birth weight in ART pregnancy was significantly lower than spontaneous group (p=0.002, 0.004). Premature rupture of membrane, preeclampsia, placental events, intrauterine fetal death and gestational age had not significant difference between two groups. CONCLUSION: Because some of maternal and fetal morbidity in twin pregnancies was higher in assisted conceptions than spontaneous conception, these patients need closer prenatal care.SH Barat,Z Basirat,Z Bouzari,SH YazdaniM Zarinkamar RoodbariBabol University of Medical Sciencesarticleassisted reproductive technologymaternal morbidityfetal morbidityspontaneous twin pregnanciesMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 11, Iss 2, Pp 49-53 (2009)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	assisted reproductive technology maternal morbidity fetal morbidity spontaneous twin pregnancies Medicine R Medicine (General) R5-920
spellingShingle	assisted reproductive technology maternal morbidity fetal morbidity spontaneous twin pregnancies Medicine R Medicine (General) R5-920 SH Barat, Z Basirat, Z Bouzari, SH Yazdani M Zarinkamar Roodbari Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
description	BACKGROUND AND OBJECTIVE: Pregnancy, neonatal and fetal complications are higher in twin than singleton pregnancy. Considering use of assisted reproductive technology (ART) and twin births is increased, the aim of this study was to compare the complications in spontaneous vs. assisted conception twin pregnancies for recognition of high risk mothers and prevention and treatment of them as soon as possible.METHODS: This analytical study was performed on 40 assisted conception twin pregnancies and 80 pregnant women with spontaneous twin pregnancies. Two groups were matched for age. Maternal morbidity (preeclampsia, preterm delivery) and neonatal complications (Intra uterine growth restriction and low birth weight) were recorded and compared.FINDINGS: Mean gestational age in spontaneous pregnancy was 34.4±3.2 weeks and in ART pregnancy was 33.7±2.1 weeks that showed no significant difference. Gestational diabetes was in 13 versus 8 cases (p=0.004), intrauterine growth restriction in 3 cases versus 0 (p=0.035) and transfer to neonatal intensive care unit 30 cases versus 26 (p=0.000) in ART pregnancy and spontaneous, respectively. Birth weight in ART pregnancy was significantly lower than spontaneous group (p=0.002, 0.004). Premature rupture of membrane, preeclampsia, placental events, intrauterine fetal death and gestational age had not significant difference between two groups. CONCLUSION: Because some of maternal and fetal morbidity in twin pregnancies was higher in assisted conceptions than spontaneous conception, these patients need closer prenatal care.
format	article
author	SH Barat, Z Basirat, Z Bouzari, SH Yazdani M Zarinkamar Roodbari
author_facet	SH Barat, Z Basirat, Z Bouzari, SH Yazdani M Zarinkamar Roodbari
author_sort	SH Barat,
title	Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
title_short	Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
title_full	Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
title_fullStr	Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
title_full_unstemmed	Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous
title_sort	comparison of perinatal outcomes of twin births conceived using assisted reproduction technology versus spontaneous
publisher	Babol University of Medical Sciences
publishDate	2009
url	https://doaj.org/article/9643709dc6f64788921019b045ed1e2d
work_keys_str_mv	AT shbarat comparisonofperinataloutcomesoftwinbirthsconceivedusingassistedreproductiontechnologyversusspontaneous AT zbasirat comparisonofperinataloutcomesoftwinbirthsconceivedusingassistedreproductiontechnologyversusspontaneous AT zbouzari comparisonofperinataloutcomesoftwinbirthsconceivedusingassistedreproductiontechnologyversusspontaneous AT shyazdani comparisonofperinataloutcomesoftwinbirthsconceivedusingassistedreproductiontechnologyversusspontaneous AT mzarinkamarroodbari comparisonofperinataloutcomesoftwinbirthsconceivedusingassistedreproductiontechnologyversusspontaneous
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Comparison of Perinatal Outcomes of Twin Births Conceived Using Assisted Reproduction Technology versus Spontaneous

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