Document Detail

Triplet pregnancy and successful twin delivery in a patient with congenital cervical atresia who underwent transmyometrial embryo transfer and multifetal pregnancy reduction.
MedLine Citation:
PMID:  19264303     Owner:  NLM     Status:  MEDLINE    
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 vitro fertilization, transmyometrial ET, MFPR procedure for triplet pregnancy. PATIENT(S): A 33-year-old patient with endometriosis-associated and tubal factor infertility who underwent uterovaginal canalization surgery for congenital cervical atresia 9 years ago. MAIN OUTCOME MEASURE(S): Successful delivery after transmyometrial ET followed by MFPR. RESULT(S): A total of three IVF cycles and four procedures of transmyometrial ET were performed. In the third cycle a triplet pregnancy was achieved. MFPR was performed 35 days after embryos transfer, two healthy babies delivered at 31 weeks gestation. CONCLUSION(S): With aggressive therapy, successful pregnancy is possible in similar patients.
Chenming Xu; Jian Xu; Huijuan Gao; Hefeng Huang
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-03-04
Journal Detail:
Title:  Fertility and sterility     Volume:  91     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1958.e1-3     Citation Subset:  IM    
Department of Reproductive Endocrinology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
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MeSH Terms
Cervix Uteri / abnormalities*
Chorionic Gonadotropin, beta Subunit, Human / blood
Embryo Transfer / methods*
Fertilization in Vitro*
Pregnancy Reduction, Multifetal*
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human

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