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Retrospective comparison of monochorionic diamniotic twin pregnancies stratified by spontaneous or artificial conception.

Authors :
Roero, Sofia
Arduino, Silvana
Arese, Arianna
Fea, Teresa
Ferrando, Isabella
Scaltrito, Gabriella
Casula, Viola
Ronco, Alice
Bossotti, Carlotta
Zizzo, Roberto
Scali, Roberto
Revelli, Alberto
Source :
Journal of Perinatal Medicine. Oct2023, Vol. 51 Issue 8, p1019-1024. 6p.
Publication Year :
2023

Abstract

To compare outcomes of monochorionic diamniotic (MCDA) twin pregnancies by in vitro fertilization (IVF) vs. spontaneously conceived counterparts. Retrospective comparison. Data about MCDA twin pregnancies, conceived spontaneously or by IVF, attending the Twin Pregnancy Care Unit of Sant'Anna Hospital in Turin (Italy) between January 1st 2010 and March 31st 2022, were collected retrospectively. Obstetric, fetal, and neonatal outcomes of MCDA twin pregnancies by IVF were compared to those of spontaneously conceived counterparts. Data were described by univariate and multivariate analysis. 541 MCDA twin pregnancies were included in the study, among which 45 conceived by IVF and 496 spontaneously conceived. Women with IVF twins were older than those who conceived spontaneously (36.7 ± 5.7 vs. 32.1 ± 5.2 years; p<0.001). No significant difference in the prevalence of pregnancy complications between the two groups was found, except for an increased incidence of hypertensive disorders among IVF pregnancies (17.8 vs. 8.5 %; p=0.039), which resulted nonsignificant after adjusting for maternal age and parity (aOR 1.9, 95 % CI 0.8–4.6). Data about 1,046 live born babies (90 conceived by IVF and 956 spontaneously) were also collected: perinatal outcomes did not differ between the two groups. Our results suggest that MCDA twin pregnancies following IVF are not at increased risk of adverse outcomes compared to spontaneous MCDA twin pregnancies. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03005577
Volume :
51
Issue :
8
Database :
Academic Search Index
Journal :
Journal of Perinatal Medicine
Publication Type :
Academic Journal
Accession number :
172780044
Full Text :
https://doi.org/10.1515/jpm-2023-0078