Heterotopic Pregnancy, its Prevalence in Conjunctionwith Assisted Reproduction

Czech version

Authors: J. Hulvert; Tonko Mardešič; J. Vobořil; P. Müller
Authors‘ workplace: Sanatorium Pronatal, Praha, vedoucí lékař doc. MUDr. T. Mardešič, CSc.
Published in: Ceska Gynekol 1999; (5): 299-301
Category:

Overview

Objective:
To assess the incidence of heterotopic pregnancy after infertility treatment using thetechnology of assisted reproduction.Design: A prospective study of 618 women who became clinically pregnant following assistedreproduction technology (ART) procedures.Setting: Sanatorium Pronatal, Na dlouhé mezi 4/12, 147 00 Praha 4 -⁠ Hodkovičky.Methods: Study group consists of clinical pregnancies conceived after ART procedures within theperiod from January 1, 1997 untill June 30, 1998. A condition to be included in survey group wasthat there was a gestation sac detected by ultrasound or histological confirmation of ectopicpregnancy.Results: Six-hundred-eighteen clinical pregnancies resulted and 23 of the pregnancies were ecto-pic gestations (3.7%). Seven out of the 23 (30.5%) ectopic pregnancies were heterotopic. Thusheterotopic pregnancy rate after ART was, 1.14% (1 in 88).Conclusion: The incidence of heterotopic pregnancy following assisted reproduction technique isrelatively frequent. This condition represents a live-threatening complications of pregnancy. Theprognosis for intrauterine gestation in case of heterotopic pregnancy is usually good. About 78%delivered living child at term.

Key words:
assisted reproduction technology, ectopic pregnancy, heterotopic pregnancy

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