Sextuplets: an unusual complication of single embryo transfer.

Abstract:

OBJECTIVE:To describe an unusual case of a sextuplet gestation after IVF and transfer of a single blastocyst. DESIGN:Case report. SETTING:University-based IVF clinic. PATIENT(S):A 32-year-old female with secondary infertility undergoing IVF-ET. INTERVENTION(S):Transvaginal oocyte retrieval, transfer of a single blastocyst, and multifetal pregnancy reduction. MAIN OUTCOME MEASURE(S):Ultrasound determination of pregnancy viability. RESULT(S):Six intrauterine gestational sacs, each with a fetus having cardiac activity, reduced to a triplet gestation. CONCLUSION(S):Physicians should consider advising patients undergoing IVF-ET to abstain from unprotected intercourse at least 4 days before the anticipated oocyte retrieval. Incomplete aspiration of ovarian follicles is uncommon but not rare and can lead to a higher order multiple pregnancy if recent unprotected intercourse has occurred in this setting.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Mains L,Ryan G,Sparks A,Van Voorhis B

doi

10.1016/j.fertnstert.2008.09.021

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

932.e1-2

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)03906-X

journal_volume

91

pub_type

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