Maternal and neonatal complications in twin deliveries as compared to singleton deliveries following In vitro fertilization

Gupta, Reena; Sardana, Parnita; Arora, Parul; Banker, Jwal; Shah, Sandeep; Banker, Manish

doi:10.4103/jhrs.jhrs_105_19

Cited by 12 publications

(6 citation statements)

References 38 publications

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“…Thus, after the analysis was restricted to singleton pregnancies, we observed a reduction in the incidence of complications for most of the variables studied. This conclusion has been demonstrated in previous studies (22)(23)(24)(25). ------------------------------------------------------------------------------------------------------------------------------------------------------- The increased incidence of prematurity in the present study was also correlated with changes in birth weight.…”

Section: Discussionsupporting

confidence: 86%

Maternal and neonatal outcomes following in vitro fertilization: A cohort study in Romania

2021

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Section: Discussionsupporting

confidence: 86%

Maternal and neonatal outcomes following in vitro fertilization: A cohort study in Romania

2021

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“…Assuncao RA et al 12 reported it as 1.7kg, 1.8kg and 2.1kg respectively for MCMA, MCDA and DCDA twins. The average birth weight of the first twin was 2100 grams and of the second twin was 2040 grams as reported by Pandey Mr et al 6 Even IVF/ICSI conceived twin VS singleton weight in a study by Gupta R et al 13 reported as 2.02 kg vs. 2.71 kg closely similar to our observation.…”

Section: Discussionsupporting

confidence: 91%

Maternal fetal outcome in multiple versus singleton pregnancies delivered in a teaching hospital

Panda

Begum²

2022

IJOGR

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To compare the maternal and fetal outcome in multiple versus singleton pregnancies in a private teaching hospital in India. Prospectively collected data on 50 twin deliveries from July 2018 to November 2021 were studied to determine its incidence; the maternal and foetal outcome, and compared with 50 singleton deliveries conducted on same day following the twin delivery who served as controls, the twins were also analysed on the basis of chorionicity. A total of 3415 deliveries were conducted during the study period, of which 50 were twin deliveries, giving an incidence of 14 per 1000 births or 1.4:100 deliveries. Six among 50 twins resulted following ovulation induction. Women with twin gestation had a mean maternal age of 24.7±3.71, same for the singleton mothers was 24.26±3.7years; mean gestational age at delivery for twins and singletons were 35.38±2.6 and 38.63±1.19 weeks; mean birth weight for twins and singletons were 2.193kgs and 2.85±0.46kgs, mean parity were 2.04± 1.0 and 1.72±0.7 respectively. Parity, gestational age, NICU stay characteristics showed p value < 0.05. Compared with singletons, women with twin gestations had a positive risk association with odds >1 for anaemia, preeclampsia, preterm labour, malpresentation and caesarean delivery. Twin Neonates suffered prematurity, low birth weight, congenital anomaly, prolonged NICU care and increased perinatal death. Neonatal risk was more among monochorionic twins than dichorionic twins. There were 3 cases with single fetal demise, and both fetuses IUD in another case, (total IUDs-5), one twin was still born, two had early neonatal death and there were two late neonatal (>7 Days) deaths. One twin mother threw fits on the 6th postpartum day. Another mother received 20 units of blood and component replacement and subtotal hysterectomy for PPH. Despite improvement in antenatal and neonatal care, twins pose a higher threat to MCH outcome. Hence, thorough counselling, patient awareness, more vigilance at interpretation of antenatal tests, intrapartum monitoring and bridging the gap between demand and supply at NICU facility can improve maternal and neonatal outcome; as well as can help parents cope with the psychological stress.

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“…The higher incidence of multiple pregnancies (duplets and triplets) following ART compared to spontaneously achieved pregnancies is an aspect to generally take into account when estimating the contribution of ART to the TFR as it could lead to an overestimation of the effect of ART on fertility. This is an undesirable consequence of treatment since multiple births are associated with increased risks of maternal and neonatal complications (Gupta et al 2020). However, compared to international standards, Australia has a very low ART multiple birth rate (Newman, Paul, and Chambers 2021;Maheshwari, Griffiths, and Bhattacharya 2011).…”

mentioning

confidence: 99%

The contribution of assisted reproductive technology to fertility rates and parity transition: An analysis of Australian data

Lazzari¹,

Gray²,

Chambers³

2021

DemRes

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Maternal and neonatal complications in twin deliveries as compared to singleton deliveries following In vitro fertilization

Cited by 12 publications

References 38 publications

Maternal and neonatal outcomes following in vitro fertilization: A cohort study in Romania

Maternal and neonatal outcomes following in vitro fertilization: A cohort study in Romania

Maternal fetal outcome in multiple versus singleton pregnancies delivered in a teaching hospital

The contribution of assisted reproductive technology to fertility rates and parity transition: An analysis of Australian data

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