Characteristics of Twin-Prone Women Undergoing In Vitro Fertilization and Double Blastocyst Transfer - The Slovenian Experience

التفاصيل البيبلوغرافية
العنوان: Characteristics of Twin-Prone Women Undergoing In Vitro Fertilization and Double Blastocyst Transfer - The Slovenian Experience
المؤلفون: H. Meden Vrtovec, Tomaz Tomazevic, I. Virant Klun, Sara Korošec
المصدر: Geburtshilfe und Frauenheilkunde. 67:1109-1113
بيانات النشر: Georg Thieme Verlag KG, 2007.
سنة النشر: 2007
مصطلحات موضوعية: Gynecology, Infertility, medicine.medical_specialty, Pregnancy, In vitro fertilisation, urogenital system, business.industry, Obstetrics, medicine.medical_treatment, Blastocyst Transfer, Obstetrics and Gynecology, medicine.disease, Intracytoplasmic sperm injection, Pregnancy rate, medicine.anatomical_structure, embryonic structures, Maternity and Midwifery, medicine, Blastocyst, business, reproductive and urinary physiology, Twin Pregnancy
الوصف: PURPOSE: To identify a subgroup of twin-prone women undergoing in vitro fertilization (IVF) with blastocyst transfer. MATERIALS AND METHODS OF INVESTIGATION: In a retrospective cohort study, 2539 IVF cycles (1334 classical IVF and 1205 intracytoplasmic sperm injection [ICSI] cycles) in 1641 couples in the 3-year period were included. The cycles resulting in blastocysts were analysed in terms of female age, number of IVF attempts, infertility indication, number of developed blastocysts, and pregnancy, twin pregnancy and abortion rates. RESULTS: Blastocysts developed in 52 % of cycles. The pregnancy rate per blastocyst transfer was 43 % and the twin rate per pregnancy 20 %. We found a negative correlation between twin pregnancy rates, female age and number of IVF attempts, and a positive correlation between twin pregnancy rates and number of developed blastocysts. ICSI compromised blastocyst development without directly affecting pregnancy and twin pregnancy rates. Significantly higher twin pregnancy rates (39 % per pregnancy) were observed in women younger than 34 years who had 3 or more developed blastocysts. DISCUSSION, CONCLUSIONS: The subgroup of twin-prone women undergoing blastocyst transfer is characterized by age < 34 years, and number of developed blastocysts ≥ 3. Elective single blastocyst transfer in these selected women would hypothetically reduce twin pregnancy rates from 20 to 8 % per pregnancy.
تدمد: 1438-8804
0016-5751
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::0fc39c866ca2df01422df9bd033914a0
https://doi.org/10.1055/s-2007-965551
رقم الأكسشن: edsair.doi...........0fc39c866ca2df01422df9bd033914a0
قاعدة البيانات: OpenAIRE