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Results 251 - 300 of 772
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Machtinger Ronit - - 2011
Objective. To compare the maternal and perinatal outcome of triplet pregnancies delivered by cesarean section with those delivered vaginally and to assess whether a vaginal delivery of triplets is still acceptable among women who are interested in further births. Study design. A retrospective analysis of 73 triplet pregnancies delivered at ≥28 week ...
Little Cindy M - - 2010
This article discusses the issue of multifetal pregnancy as a result of fertility treatments. Pregnancies with multiple gestations are associated with serious infant and maternal health risks as well as psychological distress and significant financial consequences, and are a far too common consequence of infertility treatments such as assisted reproductive ...
Little Cindy M - - 2010
This article concerns the issue of multifetal reduction performed in some cases of higher order multiple gestation in order to decrease the possibility of adverse pregnancy outcomes and increase the chances of survival in the remaining fetuses. If multifetal pregnancy reduction is considered as a treatment option, it is usually ...
Chmait Ramen H - - 2010
OBJECTIVE: We sought to assess outcomes of triplets with feto-fetal transfusion syndrome (FFTS) treated with selective laser photocoagulation of communicating vessels (SLPCV). STUDY DESIGN: All twins and triplets with FFTS treated with SLPCV were analyzed. Triplets were classified as dichorionic-triamniotic (D/T) or monochorionic-triamniotic (M/T). In M/T triplets, SLPCV between FFTS ...
Tandberg A - - 2010
OBJECTIVE: To assess changes in incidence rates and outcomes of triplets over 40 years with a particular focus on the influence of assisted reproductive technology (ART). DESIGN: Population-based cohort study. SETTING: The Medical Birth Registry of Norway. POPULATION: 2.18 million pregnancies, including 448 sets of triplets and 27,575 twin pairs, ...
Yong Paul J - - 2010
BACKGROUND: Monozygotic monochorionic triplet pregnancies in which triplets share an amniotic cavity (di- or monoamniotic) are very rare. In addition to the other risks of high-order multiple pregnancy, such triplets are at risk for cord entanglement and therefore cord accident and intrauterine demise. CASE: A 32-year-old primigravid woman was found ...
Díaz-García César - - 2010
Uterine malformations and spontaneous triplet pregnancy are rare situations separately, and both are related to worse perinatal outcomes. In the 3 cases of combined triplet pregnancy and uterus didelphys previously published, at least 2 of the 3 fetuses died. Morbidity rates are also high. We report the case of a ...
Zuppa Antonio A - - 2010
Assisted reproductive technology has made great progress during the last three decades. After the initial enthusiasm, many ethical, legal and social issues related to the application of these procedures began to evolve. Multifetal pregnancy and fetal reduction, embryo cryopreservation, preimplantation genetic diagnosis, risks of birth defects and other adverse outcome ...
Rutherford Julienne N - - 2009
The primate placenta produces a wide variety of hormones throughout gestation that regulate placental function and fetal growth. One such hormone is insulin-like growth factor-II (IGF-II), a peptide implicated in cell division, differentiation, and amino acid transport. IGF-II concentrations were measured in 23 common marmoset (Callithrix jacchus) term placentas from ...
Li Yu - - 2009
OBJECTIVE: To report a dichorionic quadramniotic quadruple gestation with monochorionic triamniotic triplets after intracytoplasmic sperm injection (ICSI) treatment and transfer of two embryos. DESIGN: Case report. SETTING: Academic reproductive medicine center. PATIENT(S): A 28-year-old nulligravida who underwent first ICSI cycle. INTERVENTION(S): After 4 years of primary infertility for andrologic subfertility, ...
Echternkamp S E - - 2009
Long-term genetic selection of cattle for fraternal twins has increased the frequency of twin and triplet ovulations. In contrast, the ratio of fetal numbers to ovulation sites in pregnant females with twin (0.83) or triplet (0.73) ovulations is <1.0 and the number of calves per parturition is 1.6 and 2.0, ...
Sepulveda Waldo - - 2009
OBJECTIVE: To report our experience with the management of triplet pregnancies complicated by an acardiac fetus. METHODS: During the 5-year period from 2003 to 2008, five cases were identified. The prenatal sonographic findings, antepartum course, antenatal intervention if performed, and perinatal outcome of each case were reviewed. RESULTS: Four pregnancies ...
Battin Malcolm - - 2009
AIM: There were two aims to the study: (1) to provide local outcome data that would be useful in counselling prospective parents of triplets; and (2) to address the deficit in accurate contemporary data on neurodevelopmental outcome and neonatal morbidity for those infants weighing less than 1500 g at birth. ...
De Lia Julian E - - 2009
Information on feto-fetal transfusion syndrome (FFTS) in higher-order multifetal gestation is limited. We report outcomes of 10 triplet pregnancies treated by fetoscopic laser occlusion of the chorioangiopagous vessels (FLOC). The study period was August 1992 to August 2008. Inclusion criteria were gestational age < or =25 weeks and ultrasound confirmation ...
Xu Chenming - - 2009
OBJECTIVE: To report an unusual case of congenital cervical atresia and tubal factor infertility, achieving triplet pregnancy through transmyometrial embryo transfer (ET) resulting in the delivery of healthy twins after multifetal pregnancy reduction (MFPR). DESIGN: Case report and literature review. SETTING: University hospital. INTERVENTION(S): Controlled ovarian hyperstimulation, oocyte retrieval, in ...
Zeck Willibald - - 2009
Delayed interval delivery in twin pregnancies is an unusual occurrence, even more so in triplet pregnancies. We report on a delayed interval delivery in a dichorionic triamniotic triplet pregnancy after in vitro fertilization (IVF). Because of severe twin to twin transfusion syndrome (TTTS), two fetuses demised at 22 weeks of ...
Caritis Steve N SN Departments of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, PA 15213, USA. - - 2009
To assess whether 17 alpha-hydroxyprogesterone caproate reduces the rate of preterm birth in women carrying triplets. We performed this randomized, double-blinded, placebo-controlled trial in 14 centers. Healthy women with triplets were randomly assigned to weekly intramuscular injections of either 250 mg of 17 alpha-hydroxyprogesterone caproate or matching placebo, starting at ...
Dubrey Simon William - - 2009
ARTERIOVENOUS MALFORMATION (AVM) OCCURRING IN ASSOCIATION WITH SOFT TISSUE AND SKELETAL HYPERTROPHY FORMS THE BASIS OF THE PARKES WEBER SYNDROME: a rare congenital angio-osteohypertrophy condition with no obvious racial, gender or geographic preference. Usually in the lower limbs, the AVM can result in a dilated cardiomyopathy due to a high ...
Pantos Konstas - - 2009
OBJECTIVE: To report on a patient with a quintuplet pregnancy consisting of a monochorionic triamnionic triplet pregnancy and one case of monoamniotic twins after intracytoplasmic sperm injection (ICSI), laser-assisted hatching, and day 4 embryo transfer. CASE REPORT: A 34-year-old woman who underwent ICSI due to male infertility. She underwent standard ...
Lembet Arda - - 2009
Multifetal pregnancy reduction (MFPR) offers a therapeutic option which reduces the maternal, prenatal, neonatal morbidity and mortality associated with multifetal pregnancies. In certain cases of MFPR, where difficulty is encountered in reaching the thorax due to the fetal position as well as the location of membranes and placenta, an alternative ...
Guilherme Romain - - 2009
OBJECTIVE: To assess the diagnostic accuracy and show the prognostic influence of different ultrasonographic criteria in triplet pregnancies(TP). DESIGN: Retrospective study. SETTING: Tertiary care center in France. POPULATION: Fifty-one consecutive TP in which at least one of the children, live- or stillborn, weighed 500 g or more, and with a ...
Ogueh Onome - - 2009
OBJECTIVE: To determine the sequence and extent of maternal cardiovascular adaptation in an integrated way in spontaneous and assisted conception pregnancies. METHODS: Cardiovascular assessments were performed pre-pregnancy, during pregnancy and 6 weeks post delivery in women with normal spontaneously conceived singleton pregnancies (n = 13); singleton IVF pregnancies (n = ...
Arabin Birgit - - 2009
OBJECTIVE: There are few prospective cohorts of delayed-interval delivery for twin and triplet pregnancies. Nonetheless, the procedure is an option to improve perinatal outcome. STUDY DESIGN: A standard protocol was designed before candidates for delayed interval were managed by the 2 authors from 1991 to 2007. Perinatal as maternal outcomes ...
Guilherme Romain - - 2008
We assess the prognostic values of zygosity and chorionicity in triplet pregnancies (TP) with the assistance of microsatellites analysis. 53 consecutive TP whose prenatal care and delivery occurred in our maternity hospital were included in this prospective study. Zygosity of all sets of triplets (alive or stillbirth, after 22 weeks ...
Guilherme Romain - - 2009
BACKGROUND: In studies of twin and triplet pregnancies, molecular genetic techniques have rarely been used to confirm zygosity yet this is the most accurate approach. The aim of this study was to present the cross-distribution of chorionicity and zygosity in triplet pregnancies as a function of their mode of conception ...
Stone Joanne - - 2008
OBJECTIVE: This study was undertaken to report on the outcome of multifetal pregnancy reduction in the most up-to-date largest single center experience with this procedure, and compare the outcome to the first 1000 cases performed at the same institution. STUDY DESIGN: 1000 consecutive cases of multifetal pregnancy reduction performed at ...
Suresh Seshadri - - 2008
OBJECTIVE: To assess multifetal pregnancy reduction in Indian context. METHODS: It is a retrospective descriptive study. Perinatal outcome of 92 multifetal pregnancies were retrieved from a well maintained database. Fetal reductions were carried out using standard protocol. RESULTS: There were 92 pregnancies referred for fetal reduction during the study period. ...
Evans Mark I - - 2008
PURPOSE OF REVIEW: Multifetal pregnancies have skyrocketed over the past two decades as a consequence of infertility treatments. Multifetal pregnancy reduction has lowered the complications considerably. Here, we review the historical and current literature to determine reasonable statistics upon which to counsel patients RECENT FINDINGS: Several papers in the past ...
Al-Kuran Oqba - - 2008
In vitro fertilisation has become a very common procedure in the infertility practice due to both accessibility and good success rates. Complications, however, are constant reminders that no procedure is totally safe. In this paper, we present a case of IVF pregnancy that presented with pelvic abscess, and despite two ...
Mazhar Syeda Batool - - 2008
OBJECTIVE: To determine maternal outcome as antenatal and postnatal complications and neonatal outcome as birth weight, morbidity and mortality in triplet gestation. STUDY DESIGN: Observational study. PLACE AND DURATION OF STUDY: Mother and Child Health (MCH) Centre, Pakistan Institute of Medical Sciences, Islamabad from May 2000 to April 2006. PATIENTS ...
Celen Sevki - - 2009
BACKGROUND: The management of delayed delivery in a triplet pregnancy is described. CASE: A 25-year-old woman with an in vitro fertilization pregnancy aborted the presenting fetus at 19th gestational week. As she decided to carry on, cervical cerclage, tocolysis and antimicrobial prophylaxis were performed. The remaining fetuses survived until 29th ...
Zarnitz Ryan - - 2008
In laboratory-scale flow reactor studies, fuel staging using coal volatiles as a reburning fuel has given superior NOx reduction performance compared to reburning using natural gas. This superior performance of coal volatiles may be caused by an increased yield of hydrocarbon radicals and free nitrogen species in the reburning zone. ...
Luke Barbara - - 2008
OBJECTIVE: The purpose of this study was to calculate nationally representative, population-based estimates of maternal and neonatal risks in triplet and quadruplet pregnancies compared with twin pregnancies. STUDY DESIGN: The study population included 316,696 twin, 12,193 triplet, and 778 quadruplet pregnancies from the 1995-2000 Matched Multiple Birth Data Set. Adjusted ...
Vonnahme Kimberly A - - 2008
For singleton, twin, and triplet pregnancies, uteri were collected on day 140 of pregnancy. For each ewe (n = 18), placentomes were fixed by arterial perfusion supplying the fetal (cotyledon) and maternal placenta (caruncle). Tissue sections were stained for determination of vascularity by image analysis. Further, protein expression for factor ...
Lee Jung Ryeol - - 2008
The purpose of this study was to evaluate the outcomes of various methods of multifetal pregnancy reduction (MFPR) and to determine which method produces better outcomes. One hundred and forty-eight patients with multiple pregnancies resulting from assisted reproduction programs and underwent MFPR were included. According to the use of potassium ...
Arabin Birgit - - 2008
We report on an exceptional therapy with epidural anesthesia and tunnelling of the peridural catheter over a time period of 2-14 days in patients with threatening early preterm labor, intact membranes and vaginal engagement of the infants (4 singleton, 8 twin and 2 triplet pregnancies). A combination of bupivacaine (0.125%) ...
Moaeen-ud-Din M - - 2008
The aim of the current study was to estimate reproductive parameters of Matou goat to evaluate a meat breed. Data on 2,560 kids from 1,197 kidding records of 638 does and on puberty of 546 females kids were collected from farmer household herds of Matou goats in six counties of ...
Shmilovich-Baram Shira - - 2008
OBJECTIVE: This study evaluated the association of maternal factors known to influence outcomes of triplets, different discordance levels (-25, 25.1-35, and )35%), and three types (according to the birth weight of the middle-sized triplet) of birth weight discordance in triplets. METHODS: We used data collected by the Women's Health Division ...
Matsubara Shigeki - - 2008
Mirror syndrome is the association of triple edema, i.e. fetal, placental and maternal edema, with maternal preeclampsia. We here report the first case of mirror syndrome resulting from hydropic acardius in triplet pregnancy. A 26-year-old nulliparous woman spontaneously conceived two living fetuses and one acardius, and suffered preterm rupture of ...
Vallely Andrew A Senior Lecturer, Tropical & Infectious Diseases, University of Queensland, Division of International and Indigenous Health, School of Population Health, Herston Road, Herston, Brisbane Qld 4006, Australia. - - 2008
Reducing the burden of falciparum malaria in pregnancy is an urgent international public health priority but one that involves considerable challenges. The rapidly declining effectiveness of agents known to be safe in pregnancy, and the limited efficacy, safety and pharmacokinetic data available for many other antimalarial drugs, mean that current ...
Youssef, Hamed
Objective: To evaluate the pregnancy outcome after multifetal pregnancy reduction (MFPR) via early transvaginal embryo aspiration. Design: Prospective clinical study Material and Methods: The study included 30 patients with high-order multifetal gestations (more than 3 fetuses), Pregnancies included, before reduction: 22 quadruplet gestations (group 1) and 6 quintuplets (group 2), ...
Tongprasert Fuanglada - - 2007
OBJECTIVE: To describe the experiences in diagnostic cordocentesis in twin pregnancies at midpregnancy METHODS: The database and medical records of pregnant women attending Maternal Fetal Medicine Unit of the hospital for diagnostic cordocentesis at midpregnancy between January 1989 and September 2006 were retrospectively reviewed. RESULTS: During 17 years of experience, ...
Mutihir J T - - 2007
BACKGROUND: Triplet pregnancies are high-risk pregnancies and fortunately the prevalence is low. They are associated with high perinatal morbidity and mortality. DESIGN: All the records of the 16 triplet pregnancies managed in Jos University Teaching Hospital, North Central Nigeria, were retrieved and analysed. RESULTS: There were a total of 41,159 ...
Dicken Cary L - - 2008
OBJECTIVE: To describe the first reported case of a triplet pregnancy subsequent to the use of an aromatase inhibitor for ovulation induction. DESIGN: Case report. SETTING: Academic medical center. PATIENT(S): A 32-year-old female with polycystic ovary syndrome and primary infertility. INTERVENTION(S): Letrozole, 5 mg/day, on cycle days 2 to 6 ...
Stone Joanne - - 2007
OBJECTIVE: The purpose of this study was to examine changes in multifetal pregnancy reduction (MPR) procedures in 2000 cases and to evaluate evolving trends within the last 1000 MPRs. STUDY DESIGN: Two thousand patients who underwent MPR were identified. Data were collected from a computerized database. Comparisons were made between ...
Britt David W - - 2007
Data are analyzed for 54 women who made an appointment with a North American Center specializing in multifetal pregnancy reduction (MFPR) to be counseled and possibly have a reduction. The impact on decision difficulty of combinations of three frames through which patients may understand and consider their options and use ...
Clapauch Ruth - - 2008
OBJECTIVE: To report a case of triplet pregnancy after metformin treatment only, in a woman with polycystic ovary syndrome (PCOS) and a family history of twin pregnancies. DESIGN: Case report and literature review. SETTING: Gynecologic endocrinology clinic, tertiary federal hospital. PATIENT(S): A white, lean, 34-year-old woman, treated for PCOS since ...
Munks Eryn B - - 2007
OBJECTIVE: To determine attitudes of in vitro fertilization (IVF) patients toward multifetal pregnancy reduction before and after embryo transfer. STUDY DESIGN: Women seeking IVF consultation were surveyed before and after embryo transfer regarding their attitudes toward multifetal pregnancy reduction. RESULTS: Thirty-one of 36 subjects completed the initial survey. The mean ...
Echternkamp S E - - 2007
Effects of ovulation rate and of fetal number and distribution within the uterus on pregnancy rate and fetal survival were evaluated in nulliparous (n = 1,331) and parous (n = 3,517) cattle selected for twinning. Cattle were divided into a spring (70 d) and fall (60 d) breeding season and ...
- - 2007
Counseling for treatment of infertility should include a discussion of the risks of multifetal pregnancy, multifetal pregnancy reduction should be discussed with patients before the initiations of any treatment that could increase the risk of multifetal pregnancy. In almost all cases, it is preferable to terminate an ovulation induction cycle ...
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