RISKS, COMPLICATIONS AND PERINATAL OUTCOMES IN WOMEN WITH MULTIPLE PREGNANCY FOLLOWING ASSISTED REPRODUCTIVE TECHNOLOGIES
DOI:
https://doi.org/10.11603/24116-4944.2023.1.13947Keywords:
multiple pregnancy, assisted reproductive technologies, miscarriage, premature birth, gestational course of multiple pregnancy, obstetric unloading pessary, prevention of premature birth, isthmic-cervical insufficiency, infertility, perinatal outcomes, reproductive healthAbstract
The aim of the study – to investigate the course of childbirth, the postpartum period, and the condition of newborns in women with multiple pregnancies, as well as to evaluate the results of using an obstetric unloading pessary as a prevention of miscarriage in women with multiple pregnancies (MP) after the use of assisted reproductive technologies (ART).
Materials and Methods. 100 women with MP were under observation, among whom ART methods were used in 70 women and pregnancy occurred naturally in 30 women. Thus, all pregnant women were divided into three groups: the 1st group – 35 women with MP after ART, who were fitted with an obstetric unloading pessary at 14-16 weeks of gestation to prevent abortion; the 2nd group – 35 women with MP after ART, who were not fitted with an obstetric pessary; the 3rd group – 30 women of the control group with MP that occurred naturally.
Results and Discussion: during the study we analyzed the course of gestation, chorionicity and amnioticity of fetuses, as well as the course of childbirth and the condition of newborns in pregnant women from three groups. From the 1st group 31 (88.6 %) women with MP gave birth at term. From the 2nd group 28 (80.0 %) pregnant women gave birth prematurely within 24-36 weeks. In the control group full-term MP was detected in 16 (53.3 %) pregnant women.
Conclusions: Women with multiple pregnancies after the use of ART are recommended to use a unloading obstetric pessary in order to prevent miscarriage and, accordingly, the birth of children with low and very low birth weight.
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