Mode of conception of triplets and high order multiple pregnancies.

2.50
Hdl Handle:
http://hdl.handle.net/10147/228572
Title:
Mode of conception of triplets and high order multiple pregnancies.
Authors:
Basit, I; Johnson, S N; Mocanu, E; Geary, M; Daly, S; Wingfield, M
Affiliation:
Department of Obstetrics and Gynaecology, Coombe Women and Infant's University Hospital, Cork St., Dublin. irambasit@hotmail.com
Citation:
Mode of conception of triplets and high order multiple pregnancies. 2012, 105 (3):80-3 Ir Med J
Journal:
Irish medical journal
Issue Date:
Mar-2012
URI:
http://hdl.handle.net/10147/228572
PubMed ID:
22558814
Abstract:
A retrospective audit was performed of all high order multiple pregnancies (HOMPs) delivered in three maternity hospitals in Dublin between 1999 and 2008. The mode of conception for each pregnancy was established with a view to determining means of reducing their incidence. A total of 101 HOMPs occurred, 93 triplet, 7 quadruplet and 1 quintuplet. Information regarding the mode of conception was available for 78 (81%) pregnancies. Twenty eight (27.7%) were spontaneous, 34 (33.7%) followedlVF/ICSI/FET treatment (in-vitro fertilisation, intracytoplasmic sperm injection, frozen embryo transfer), 16 (15.8%) resulted from Clomiphene Citrate treatment and 6 (6%) followed ovulation induction with gonadotrophins. Triplet and HOMPs are a major cause of maternal, feta land neonatal morbidity. Many are iatrogenic, arising from fertility treatments including Clomiphene. Reducing the numbers of embryos transferred will address IVF/ICSI/FET-related multiple pregnancy rates and this is currently happening in Ireland. Clomiphene and gonadotrophins should only be prescribed when appropriate resources are available to monitor patients adequately.
Item Type:
Article
Language:
en
MeSH:
Female; Fertilization; Humans; Ireland; Pregnancy; Pregnancy, Multiple; Reproductive Techniques, Assisted; Retrospective Studies
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorBasit, Ien_GB
dc.contributor.authorJohnson, S Nen_GB
dc.contributor.authorMocanu, Een_GB
dc.contributor.authorGeary, Men_GB
dc.contributor.authorDaly, Sen_GB
dc.contributor.authorWingfield, Men_GB
dc.date.accessioned2012-06-12T11:24:54Z-
dc.date.available2012-06-12T11:24:54Z-
dc.date.issued2012-03-
dc.identifier.citationMode of conception of triplets and high order multiple pregnancies. 2012, 105 (3):80-3 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22558814-
dc.identifier.urihttp://hdl.handle.net/10147/228572-
dc.description.abstractA retrospective audit was performed of all high order multiple pregnancies (HOMPs) delivered in three maternity hospitals in Dublin between 1999 and 2008. The mode of conception for each pregnancy was established with a view to determining means of reducing their incidence. A total of 101 HOMPs occurred, 93 triplet, 7 quadruplet and 1 quintuplet. Information regarding the mode of conception was available for 78 (81%) pregnancies. Twenty eight (27.7%) were spontaneous, 34 (33.7%) followedlVF/ICSI/FET treatment (in-vitro fertilisation, intracytoplasmic sperm injection, frozen embryo transfer), 16 (15.8%) resulted from Clomiphene Citrate treatment and 6 (6%) followed ovulation induction with gonadotrophins. Triplet and HOMPs are a major cause of maternal, feta land neonatal morbidity. Many are iatrogenic, arising from fertility treatments including Clomiphene. Reducing the numbers of embryos transferred will address IVF/ICSI/FET-related multiple pregnancy rates and this is currently happening in Ireland. Clomiphene and gonadotrophins should only be prescribed when appropriate resources are available to monitor patients adequately.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.meshFemale-
dc.subject.meshFertilization-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy, Multiple-
dc.subject.meshReproductive Techniques, Assisted-
dc.subject.meshRetrospective Studies-
dc.titleMode of conception of triplets and high order multiple pregnancies.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Coombe Women and Infant's University Hospital, Cork St., Dublin. irambasit@hotmail.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinsteren

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