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体外受精与自然受孕的双卵双胎妊娠的产科及围产期结局:一项回顾性研究

Obstetric and perinatal outcomes of dizygotic twin pregnancies resulting from in vitro fertilization versus spontaneous conception: a retrospective study.

作者信息

Chen Hua, Wan Ying, Xi Haitao, Su Weijue, Cheng Jing, Zhu Chunfang, Lv Jieqiang, Wu Xinmei, Zhao Junzhao

机构信息

Reproductive Center, Department of Obstetrics and Gynecology, The 2nd Affliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Obstetrics and Gynecology, Jiaxing Maternal and Child Health-care Hospital, Jiaxing, China.

出版信息

PeerJ. 2019 Apr 1;7:e6638. doi: 10.7717/peerj.6638. eCollection 2019.

Abstract

This study was designed to to assess perinatal and neonatal outcomes of dizygotic twin pregnancies conceived naturally or by in vitro fertilization (IVF). After strict selection, the study included 470 dizygotic twin pregnancies. There were 249 resulting from IVF treatments and 221 conceiving spontaneously. After adjusting maternal age and primiparity, the results showed that there were no significant differences between the two groups ( > 0.05) in terms of maternal antenatal complications and neonatal outcomes. In conclusion, our study does not reveal increased risks for pregnancy-related complications and adverse neonatal outcomes in dizygotic twin pregnancies following IVF treatments. With these fundamental data, this study could provide a reference for perinatal care and clinical assisted reproductive technology (ART) treatment and help to inform infertile parents about the potential risks of IVF treatments.

摘要

本研究旨在评估自然受孕或体外受精(IVF)的双卵双胎妊娠的围产期和新生儿结局。经过严格筛选,该研究纳入了470例双卵双胎妊娠。其中249例为IVF治疗后妊娠,221例为自然受孕。在调整产妇年龄和初产情况后,结果显示两组在产妇产前并发症和新生儿结局方面无显著差异(>0.05)。总之,我们的研究未发现IVF治疗后的双卵双胎妊娠中与妊娠相关并发症和不良新生儿结局的风险增加。有了这些基础数据,本研究可为围产期护理和临床辅助生殖技术(ART)治疗提供参考,并有助于告知不孕父母IVF治疗的潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fed/6448552/853672a9be6e/peerj-07-6638-g001.jpg

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