S K Kathpalia1, Krishan Kapoor2, Atul Sharma3. 1. Consultant (Obst and Gynae), Base Hospital, Delhi Cantt 110010, India. 2. Commandant, Military Hospital Allahabad, UP, India. 3. Resident (Obst and Gynae), Base Hospital, Delhi Cantt 110010, India.
Abstract
BACKGROUND: Many infertile couples need treatment in different forms including Assisted Reproductive Techniques. In Vitro Fertilization and Embryo Transfer is the most advanced method of infertility treatment. Management of these pregnancies is difficult as the couples and treating doctors have undue concern and apprehension and worry about outcome of such pregnancies. This study was undertaken to find out the complications and mode of delivery and if there is a need to manage them at tertiary care centers. METHODS: 130 cases were included in the study after pregnancy was confirmed in this prospective study. These cases were followed throughout pregnancy and labour. Pregnancy, labour, and neonatal complications were noted. RESULTS: Incidence of primary infertility was more common. Mean age of patient was more. All the cases were provided standard routine antenatal care. Multiple pregnancies and preterm labour were more frequent in the study group. A large number of cases delivered vaginally. CONCLUSION: A large number of pregnancies terminated in vaginal delivery, thereby indicating that these pregnancies though high risk can have vaginal delivery. They can be managed at any hospital once clinical pregnancy is confirmed.
BACKGROUND: Many infertile couples need treatment in different forms including Assisted Reproductive Techniques. In Vitro Fertilization and Embryo Transfer is the most advanced method of infertility treatment. Management of these pregnancies is difficult as the couples and treating doctors have undue concern and apprehension and worry about outcome of such pregnancies. This study was undertaken to find out the complications and mode of delivery and if there is a need to manage them at tertiary care centers. METHODS: 130 cases were included in the study after pregnancy was confirmed in this prospective study. These cases were followed throughout pregnancy and labour. Pregnancy, labour, and neonatal complications were noted. RESULTS: Incidence of primary infertility was more common. Mean age of patient was more. All the cases were provided standard routine antenatal care. Multiple pregnancies and preterm labour were more frequent in the study group. A large number of cases delivered vaginally. CONCLUSION: A large number of pregnancies terminated in vaginal delivery, thereby indicating that these pregnancies though high risk can have vaginal delivery. They can be managed at any hospital once clinical pregnancy is confirmed.
Entities:
Keywords:
Embryo transfer; In vitro fertilization; Infertility
Authors: G David Adamson; Jacques de Mouzon; Paul Lancaster; Karl-G Nygren; Elizabeth Sullivan; Fernando Zegers-Hochschild Journal: Fertil Steril Date: 2006-06 Impact factor: 7.329