| Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. | |
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MedLine Citation:
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PMID: 19127369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the incidence, predisposing factors, early diagnosis and treatment options of heterotopic pregnancy (HP) following in vitro fertilization and embryo transfer (IVF-ET) procedure. METHODS: A retrospective review study was performed to identify the HP cases after IVF-ET at the Reproductive Centre in Guangdong Women and Children's Hospital in China between the years of 2002-2007. RESULTS: Twelve out of 1,476 pregnancies (0.81%) were diagnosed for HP, of which nine patients elected for exploratory salpingectomy, two patients received selective fetal reduction by embryo aspiration under ultrasound guidance, and one patient opted for expectant treatment. Postoperatively, four intrauterine pregnancies were continued to develop until term while two were delivered at 35 weeks of gestation. The achievement ratio of continuous pregnancy was 66.7% (6/9). CONCLUSION: The incidence of HP is increasing due to the widespread use of assisted reproductive technology. An early transvaginal sonography performed by experienced radiologist/radiographer is considered to be essential and beneficial in establishing early diagnosis of HP. Both salpingectomy and selective fetal reduction by embryo aspiration can be administered as one of the effective therapies for HP with the optimal outcome of intrauterine pregnancy. |
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Authors:
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Xiping Luo; Chi Eung Danforn Lim; Cuiyu Huang; Jingzhi Wu; Wu Shun Felix Wong; Nga Chong Lisa Cheng |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-01-07 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 280 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-06-26 Completed Date: 2009-09-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 325-9 Citation Subset: IM |
Affiliation:
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Department of Gynaecology, Guangdong Women and Children Hospital, Guangzhou, GuangDong, People's Republic of China. luoxiping07@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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China
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epidemiology Embryo Transfer / adverse effects* Female Fertilization in Vitro Humans Incidence Laparotomy Pregnancy* Pregnancy Reduction, Multifetal Pregnancy, Ectopic / epidemiology, etiology*, surgery, ultrasonography Retrospective Studies |
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