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追溯比较单胞胎双胞胎怀孕,分层由自发或人工受孕

Sofia Roero¹, Silvana Arduino¹, Arianna Arese¹

¹Twin Pregnancy Care Unit, Gynecology and Obstetrics 2U, A.O.U. Città della Salute e della Scienza, Sant'Anna Obstetric Gynecological Hospital, University of Torino, Torino, Italy.

Journal of perinatal medicine

|July 25, 2023

概括

通过体外受精 (IVF) 怀孕的双胞胎怀孕显示出与自发怀孕的结果相似的结果. 这项研究发现,在IVF受孕的MCDA双胞胎中,不良怀孕或新生儿并发症的风险没有增加.

科学领域:

生殖医学生殖医学
孕产妇和胎儿医学孕产妇和胎儿医学
周围生理学周围生理学

背景情况:

双胞胎单胆双眼 (MCDA) 双胞胎存在独特的风险.
辅助生殖技术,包括体外受精 (IVF),越来越多地用于怀孕.
了解IVF怀孕的MCDA双胞胎的潜在结果差异至关重要.

研究的目的:

为了比较通过试管婴儿与自发受孕的MCDA双胞胎怀孕的产科,胎儿和新生儿结局.
在MCDA双胞胎怀孕中识别与IVF相关的任何风险增加.

主要方法:

从2010年1月到2022年3月,对541例MCDA双胞胎怀孕 (45例试管婴儿,496例自发怀孕) 的回顾性分析.
试管婴儿和自发受孕组之间的妊娠并发症,胎儿和新生儿结局的比较.
用单变量和多变量分析来评估结果,并根据母亲的年龄和平等性进行调整.

主要成果:

在IVF怀孕的双胞胎中,母亲年龄较大 (36.7岁对32.1岁).
两组之间没有观察到总体妊娠并发症或围产期结局的显著差异.
在试管婴儿怀孕中,高血压疾病增加的趋势在调整后并不具有统计学意义.

结论:

通过试管婴儿受孕的MCDA双胞胎怀孕与自发受孕的MCDA双胞胎相比,似乎没有增加不良结果的风险.
这些发现支持试管婴儿在实现MCDA双胞胎怀孕的安全性,结果可比.

关键词:

在这个过程中,IVF IVF.双胞胎怀孕是单双胞胎的怀孕.新生儿的结果.产科的结果.怀孕并发症怀孕并发症

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