scholarly journals OP25.07: First trimester inter- and intrafetal size discrepancies in bichorionic twins conceived by in vitro fertilisation: can it predict pregnancy outcome?

2017 ◽  
Vol 50 ◽  
pp. 130-130
Author(s):  
R. Bardin ◽  
Y. Levi ◽  
I. Meizner ◽  
B. Fisch ◽  
A. Wiznitzer ◽  
...  
Keyword(s):  
Pregnancy Outcome ◽  
First Trimester ◽  
In Vitro Fertilisation

The relation to pregnancy, the child, motherhood of women in IVF situation

2015 ◽  
Vol 6 (4) ◽  
pp. 97-104
Author(s):  
Arina Yurevna Malenova ◽  
Irina Gennadevna Kytkova
Keyword(s):  
Family Relations ◽  
First Trimester ◽  
Family Education ◽  
In Vitro Fertilisation ◽  
Control Group ◽  
The Family ◽  
Before And After ◽  
Group 2 ◽  
High Level

Research objective - studying of features of the relation to pregnancy, the child, motherhood of women in IVF situation. Selection: 100 married pregnant women aged from 28 till 42 years (the first pregnancy of the first trimester, complications in the anamnesis isn't present) representing two groups on 50 people: 1) after artificial insemination (empirical group); 2) in a situation natural pregnancy (control group). The leading motives of pregnancy, types of the attitude towards themselves, pregnancies, to the child, people around, the prevailing installations in the sphere of the family relations, features of representation of future mothers about themselves and "the ideal parent" are defined by testing. Distinctions in all respects with women from control group are found. It is established that in vitro fertilisation the high level of readiness for motherhood according to its motivational characteristics is observed. Prevalence of constructive motives of pregnancy against concern in the health and aspirations to meet social expectations is revealed. The leading types of a gestational dominant are optimum and euphoric, the hypertrophied positive emotional background of pregnancy is observed. In the future of a bike probability the dependent relations with the child, preference of the sponsoring or authoritative style of family education. Revaluation of own parental qualities when comparing with image of ideal mother is observed. Results allow to carry women to the group of risk demanding psychological maintenance before and after the childbirth.

Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature

2017 ◽  
Vol 10 (2) ◽  
pp. 146-150
Author(s):  
Petya P. Chaveeva ◽  
Slavcho T. Tomov ◽  
Atanas D. Shterev
Keyword(s):  
Pregnancy Outcome ◽  
Color Doppler ◽  
First Trimester ◽  
Laser Coagulation ◽  
Triplet Pregnancy ◽  
Vitro Fertilization ◽  
Arterial Perfusion ◽  
Trap Sequence ◽  
Twin Reversed Arterial Perfusion

Summary A rare case is reported of twin-reversed arterial perfusion (TRAP) sequence in a triplet pregnancy, fetal intervention in the first trimester and pregnancy outcome. We report a case of TRAP sequence complication in dichorionic triamniotic triplet pregnancy, with a normally developing fetus and an acardiac fetus connected via arterio-arterial anastomoses in a monochorionic diamniotic twin pair and a separate fetus. TRAP sequence was diagnosed at 13 weeks in triplet pregnancy after in vitro fertilization (IVF) and embryo transfer of two blastocysts. Color Doppler assessment showed persistent arterial flow in the acardiac twin. Intrafetal laser coagulation was carried out at the time of the diagnosis, and the pregnancy outcome was two survivals at 36.4 weeks of gestation.

Association Between Twin Discordance at 6–9 Weeks' of Gestation and Birthweight Complications

2010 ◽  
Vol 13 (4) ◽  
pp. 389-392 ◽  
Author(s):  
Kirsten Palmer ◽  
Pavitra Delpachitra ◽  
Joseph Onwude ◽  
Luk Rombauts ◽  
Simon Meagher ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
First Trimester ◽  
In Vitro Fertilisation ◽  
Crown Rump Length ◽  
Increased Risk ◽  
Twin Pregnancies

AbstractTwins achieved through in-vitro fertilisation often undergo a viability ultrasound at 6–9 weeks of gestation. The presence of inter-twin crown-rump length discordance at this stage is not an uncommon finding; however the clinical significance of this is unknown. We analyzed 218 dichorionic twin pregnancies, producing two live fetuses > 24 weeks gestation, to determine whether inter-twin discordance (≥ 85th centile) in the mid-first trimester was associated with birthweight discordance (> 20%), or small for gestational age (< 10th centile). The incidence of birthweight discordance and small for gestational age infants were determined, with no increased risk found for the discordant population. This may provide some reassurance to treating clinicians.

Rare case of obstetric cholestasis presenting in the first trimester following in vitro fertilisation

2021 ◽  
Vol 14 (7) ◽  
pp. e244254
Author(s):  
Krystal Koh ◽  
Rajeswari Kathirvel ◽  
Manisha Mathur
Keyword(s):  
Rare Case ◽  
First Trimester ◽  
In Vitro Fertilisation ◽  
High Dose ◽  
Third Trimester ◽  
Asian Ethnicity ◽  
The Third ◽  
South Asian Ethnicity ◽  
History Of

Intrahepatic cholestasis of pregnancy (ICP) generally presents in the third trimester with pruritus without a rash, characterised by elevated bile acids, with or without transaminitis and hyperbilirubinaemia. Risk factors include a family history of cholestasis, South Asian ethnicity, multifetal gestation, in vitro fertilisation (IVF) and history of hepatitis or biliary disorders.IVF involves the use of high dose gonadotropin stimulation and human chorionic gonadotropin trigger. High doses of progesterone supplementation are additionally given after embryo transfer. The increase in oestrogen and progesterone levels early on in the pregnancy is a possible explanation for the development of ICP in IVF pregnancies at earlier gestations.We present a rare case of iatrogenic ICP presenting in the first trimester in a pregnancy conceived by IVF. Unlike other cases reported, our patient did not have recurrence of ICP in the third trimester, and also had no history of ICP in her first pregnancy.

scholarly journals A bélendometriosis miatt végzett műtétek hatása a fertilitásra

2019 ◽  
Vol 160 (41) ◽  
pp. 1633-1638
Author(s):  
Réka Brubel ◽  
Noémi Dobó ◽  
Noémi Csibi ◽  
Annamária Kövesdi ◽  
Szabolcs Máté ◽  
...  
Keyword(s):  
Pregnancy Outcome ◽  
Mode Of Delivery ◽  
In Vitro Fertilisation ◽  
Control Group ◽  
Nerve Sparing ◽  
Exact Test ◽  
Bowel Endometriosis ◽  
The Relationship ◽  
Prospective Database

Abstract: Introduction: Bowel endometriosis is when endometrial-like tissue penetrates the bowel serosa, or it reaches the subserous neurovascular plexus. The effect of surgery for colorectal endometriosis on infertility and pregnancy is not fully proven. Aim: The aim of the present study was to analyse the pregnancy outcome and mode of delivery of patients who underwent ’nerve sparing’ anterior resection of the colon. Method: Between 2009 and 2017, we operated 121 patients with bowel endometriosis, and built up a prospective database where we assessed their wish of pregnancy, the way of the conception, pathologies during pregnancy and mode of delivery. Statistical analysis: The relationship between endometriosis and pregnancy pathologies was tested by a χ2 probe and Fisher’s exact test, additionally the odds ratio (OR) and 95% confidence interval (CI) were determined. For p<0.05, the result was considered significant. Results: Out of 121 bowel endometriosis patients, 48 (39.6%) women got pregnant, 37 (30.5%) of them with in vitro fertilisation. The control group was built from patients who underwent in vitro fertilisation because of andrological factors. We found that women with endometriosis have a significantly higher risk for praeeclampsia (p = 0.023) and placenta praevia (p = 0.045) during pregnancy. Conclusions: Our study is a unique description of pregnancy outcome and mode of delivery after surgery for bowel endometriosis, which, despite the small number of cases, has yielded similar results to the previous multicentric studies. Orv Hetil. 2019; 160(41): 1633–1638.

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