eating while pregnant

  • Subscribe to our RSS feed.
  • Twitter
  • StumbleUpon
  • Reddit
  • Facebook
  • Digg

jeudi 5 juillet 2007

Vanishing Twin

Posted on 12:55 by Unknown
As fertility providers we have become victims of our own success with the rate of twin pregnancies rising to very high levels as IVF laboratory techniques improve. I view twins as an OK outcome but honestly, if I was never responsible for another twin pregnancy I would be ecstatic. The problem with twins is that the rate of preterm labor, preterm delivery and pregnancy related problems are not insignificant. Not all twins end up as cute little Santas on the family’s Christmas card. Some twin pregnancies end in the mid trimester or in the early 3rd trimester. The babies can do well if delivered at a hospital with a good NICU but we would all prefer term, healthy, 7 pound babies.

Sometimes twin pregnancies “auto-reduce” to singleton pregnancies and that is the topic of today’s “Question of the Day.”

79. When I went in for my first ultrasound after IVF, my RE saw two gestational sacs at 6.5 weeks, but only one had a fetal pole with a heartbeat. What will happen to the other pregnancy sac?

Such events are not uncommon following IVF. The incidence of a clinical twin pregnancy after IVF is 10% to 25%, with the exact likelihood depending on the number of embryos transferred and the age of the patient. In 30% to 40% of these pregnancies, one gestational sac will be empty, a situation called a blighted ovum pregnancy. Often, these pregnancies will simply disappear. At other times, the woman may experience cramping and bleeding. In such a case, there is a 40% to 50% risk that the healthy gestational sac and fetus will also abort. There is no way to predict the outcome, and there is no medical intervention that can be implemented to preserve the normal sac and fetus. During this difficult time, patients are well advised to rest and decrease their stress as much as possible. Supplemental progesterone may help quiet uterine contractions, but it is not curative. In women who suffer a twin early pregnancy loss, a medical investigation may be indicated to search for any organic causes that may have contributed to the early pregnancy loss. Unfortunately, such evaluations usually do not produce any definitive answers.
Envoyer par e-mailBlogThis!Partager sur XPartager sur Facebook
Posted in | No comments
Article plus récent Article plus ancien Accueil

0 commentaires:

Enregistrer un commentaire

Inscription à : Publier les commentaires (Atom)

Popular Posts

  • HSG vs HSC vs H2O sono...What is the difference?
    Medical terminology can really give patients fits and no where is this more apparent than in the distinctions between hysterosalpingogram (H...
  • How to do an FET
    In my last blog post I discussed the general concept of frozen embryos which is certainly a bit of a mind bending concept by itself. But I w...
  • Improving Implantation: The goal of SEET using PGS
    The Holy Grail of IVF is having an IVF pregnancy rate that approaches 100% with a low rate of pregnancy loss...Now, I know that some clinics...
  • Question 20. How expensive are infertility treatments?
    Children are not cheap. Unfortunately, those patients with infertility are having to invest in a bit more than dinner and a movie in order ...
  • Natural Cycle IVF. Part 3: It Works
    Although I anticipated posting this final part concerning NC-IVF two weeks ago, it took me longer than I had anticipated to pull all the dat...
  • Natural Cycle IVF, OHSS and Multiples
    Happy New Year to all those wonderful people out in cyberspace who read this blog. Mom, check your mail for the family calendar that I sent ...
  • Let It Snow, Let It Snow, Let It Snow
    Here I sit on a Wednesday afternoon watching DC clear out in anticipation of a "major snow event." In the mid-Atlantic this means ...
  • What is AMH?
    Clearly the issue of ovarian reserve strikes many doctors and patients as "clear as mud!" Remember from our past discussions that ...
  • Where Do Donors Come From?
    When the media is not foaming at the mouth over a sextuplet pregnancy, the next most likely sensationalistic topic is egg donation. The focu...
  • Question 44. What complications can occur after IUI?
    Years ago in Long Island I had a patient experience an allergic reactions to an IUI. She got very bad hives and even began to have a bit of ...

Blog Archive

  • ►  2014 (10)
    • ►  juillet (1)
    • ►  juin (1)
    • ►  mai (1)
    • ►  avril (1)
    • ►  mars (1)
    • ►  février (2)
    • ►  janvier (3)
  • ►  2013 (14)
    • ►  décembre (1)
    • ►  novembre (1)
    • ►  octobre (1)
    • ►  septembre (1)
    • ►  août (1)
    • ►  juillet (1)
    • ►  juin (1)
    • ►  mai (1)
    • ►  avril (1)
    • ►  mars (2)
    • ►  février (1)
    • ►  janvier (2)
  • ►  2012 (30)
    • ►  décembre (2)
    • ►  novembre (1)
    • ►  octobre (3)
    • ►  septembre (1)
    • ►  août (2)
    • ►  juillet (2)
    • ►  juin (3)
    • ►  mai (2)
    • ►  avril (2)
    • ►  mars (3)
    • ►  février (6)
    • ►  janvier (3)
  • ►  2011 (28)
    • ►  décembre (2)
    • ►  novembre (3)
    • ►  octobre (1)
    • ►  septembre (2)
    • ►  juillet (3)
    • ►  juin (2)
    • ►  mai (2)
    • ►  avril (3)
    • ►  mars (5)
    • ►  février (3)
    • ►  janvier (2)
  • ►  2010 (52)
    • ►  décembre (2)
    • ►  novembre (6)
    • ►  octobre (5)
    • ►  septembre (4)
    • ►  août (1)
    • ►  juillet (4)
    • ►  juin (3)
    • ►  mai (4)
    • ►  avril (9)
    • ►  mars (13)
    • ►  janvier (1)
  • ►  2009 (22)
    • ►  novembre (1)
    • ►  octobre (2)
    • ►  septembre (2)
    • ►  août (2)
    • ►  juillet (4)
    • ►  mai (2)
    • ►  avril (1)
    • ►  mars (3)
    • ►  février (2)
    • ►  janvier (3)
  • ►  2008 (27)
    • ►  décembre (2)
    • ►  novembre (1)
    • ►  octobre (3)
    • ►  septembre (6)
    • ►  juillet (1)
    • ►  juin (2)
    • ►  mai (3)
    • ►  avril (2)
    • ►  mars (1)
    • ►  février (2)
    • ►  janvier (4)
  • ▼  2007 (66)
    • ►  décembre (1)
    • ►  novembre (5)
    • ►  octobre (6)
    • ►  septembre (7)
    • ►  août (11)
    • ▼  juillet (13)
      • Metformin and PCOS
      • Where does PCOS come from?
      • What is PCOS?
      • "There be books here..."
      • Egg Donor Screening
      • Where Do Donors Come From?
      • More on Donor Eggs
      • Donor Eggs
      • Vanishing Twin
      • A Capitol 4th of July
      • Ovulation Woes
      • Pink or Blue- Can We Choose?
      • How Normal Reproduction Works
    • ►  juin (22)
    • ►  mai (1)
Fourni par Blogger.

Qui êtes-vous ?

Unknown
Afficher mon profil complet