Outcomes in Spontaneous and ART Twin Pregnancies

Hawler Medical University

Status: Completed

Conditions: Maternal Morbidity; Perinatal Mortality; Neonatal SEPSIS

Study type: Observational

Funder types: Other

Identifiers

NCT03590483

SAlalaf

Details and patient eligibility

About

During the last decades, assisted reproductive technique has been transformed from a miracle to real and has become widely used for treatment human infertility.

this was associated with increased the rate of twin pregnancies

Full description

Twin pregnancies are associated with an increased risk of maternal mortality & morbidity and an increase in the incidence of neonatal morbidity and mortality compared to singleton pregnancy.

The heterogeneous results reported so far can also depend on differences in the studied populations and/or in the management approach to twin pregnancy, variability in data regarding neonatal and maternal outcomes.

Evidence on pregnancy outcomes of twins conceived by artificial reproductive technology (ART) compared with those naturally conceived (NC) is conflicting, A 2004 systematic review and a large 2008 study both were praised that in cases of twin pregnancy after assisted conception the perinatal mortality is significantly lower, when compared with those spontaneously conceived .

Enrollment: 200 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Twin delivered >24-week gestational age
• weight ≥ 500g
• Diachronic diamniotic twins.

Exclusion criteria

• Intrauterine fetal deaths
• Higher-order multiple pregnancies
• Deliveries complicated by early vanishing fetuses
• Twin pregnancies reduced to singleton
• Triple pregnancy reduced to twin.