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Mehrlingsschwangerschaft

  • Werner Diehl
  • Kurt Hecher
Chapter

Zusammenfassung

Mit der Zunahme der Anwendung von Reproduktionstechniken für die Behandlung von Subfertilitätsproblemen in einer Population von Frauen, in der sich gleichzeitig die Schwangerschaft immer mehr zum Ende des reproduktionsfähigen Alters verschiebt, hat die Anzahl von Mehrlingsschwangerschaften deutlich zugenommen (Black et al. 2010). Bei natürlich konzipierten Zwillingen kann davon ausgegangen werden, dass 2/3 der Zwillinge dizygot, und somit dichorial sind, und dass 1/3 monozygot sind. Von den monozygoten Zwillingen sind aufgrund einer frühen Teilung der Anlage 1/3 dichorial und aufgrund einer späteren Teilung 2/3 monochorial. Diese Proportionen scheinen sich aber durch den Einsatz der Reproduktionstechniken zu verändern, sodass ca. 95 % aller dadurch konzipierten Zwillinge dizygot und ca. 80 % aller monozygoten Zwillinge monochorial sind (Verstraelen et al. 2005). Insgesamt tragen die Geminigraviditäten nach einer Subfertilitätsbehandlung mit einer Verkürzung des Schwangerschaftsalters bei der Entbindung zu einem Anstieg der milden Frühgeburtlichkeit bei.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Werner Diehl
    • 1
  • Kurt Hecher
    • 1
  1. 1.Klinik und Poliklinik für Geburtshilfe und PränatalmedizinUniversitätsklinikum Hamburg-EppendorfHamburgDeutschland

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