Monochorionic triplets following intracytoplasmic sperm injection: a report of two consecutive cases.

Abstract:

:Monochorionic triplet pregnancies are very rare. Here we report 2 cases of multiple pregnancies with monochorionic triplets following intracytoplasmic sperm injection (ICSI) and day 3 embryo transfer. The 2 women concomitantly underwent controlled ovarian hyperstimulation due to male factor infertility. Following oocyte retrieval, ICSI and assisted hatching (AH) were performed, and the 2 women conceived consecutively. One patient had a quadruplet pregnancy, which included monochorionic triplets, while the other had monochorionic triplets. Selective embryo reduction by intracardiac KCl injection targeted at 2 of the triplets was performed on the patient with the quadruplet pregnancy, but the third triplet also died. The gestation continued as a singleton pregnancy, and the patient gave birth to a healthy female baby at 38 weeks. The other patient gave birth to 3 healthy female babies at 34 weeks. Possible etiologic factors for the formation of monozygotic splitting among women undergoing assisted reproduction treatment are discussed.

journal_name

Gynecol Obstet Invest

authors

Ulug U,Jozwiak EA,Mesut A,Bener F,Bahceci M

doi

10.1159/000076786

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

177-80

issue

3

eissn

0378-7346

issn

1423-002X

pii

76786

journal_volume

57

pub_type

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