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Lower embryonic loss rates among twin gestations following assisted reproduction

  • G. B. La Sala
  • G. Nucera
  • A. Gallinelli
  • A. Nicoli
  • M. T. Villani
  • I. Blickstein
Assisted Reproduction

Abstract

Purpose: To determine whether maternal age and number of transferred embryos influence early pregnancy losses in twin pregnancies compared to singletons following IVF/ICSI.

Methods: We compared the pregnancy loss rates in singleton (n = 549) and twin (n = 252) gestations, stratified by maternal age (≤35 and > 35 years) and the number of transferred embryos (1–3 and 4–9).

Results: Loss rates of singleton pregnancies were significantly higher than that in twins (OR 3.0, 95% CI 1.9, 4.9), especially among singletons conceived after transfer of 4–9 embryos (OR 5.0, 95% CI 2.2, 11.9). Younger mothers of twins had lower loss rates (OR 0.3, 95% CI 0.1, 0.9).

Conclusion: Twins have a significantly reduced spontaneous miscarriage rate compared with singletons following IVF/ICSI. Higher implantation rates per cycle (i.e., development of twins rather than one live embryo) may represent a better capacity of the uterus for early embryonic development.

Keywords

ICSI IVF Pregnancy loss Singletons Twins 

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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • G. B. La Sala
    • 1
  • G. Nucera
    • 1
  • A. Gallinelli
    • 1
  • A. Nicoli
    • 2
  • M. T. Villani
    • 1
  • I. Blickstein
    • 2
    • 3
  1. 1.Department of Obstetrics and GynecolgyArcispedale Santa Maria NuovaReggio EmiliaItaly
  2. 2.Kaplan Medical CenterRehovotIsrael
  3. 3.Department of Obstetrics and GynecologyKaplan Medical CenterRehovotIsrael

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