Complications of triple pregnancy following intracytoplasmic sperm injection: a case report

Abstract

A case i s pr esented of pr egnancy and del i ver y of tr i pl ets fol l ow i ng i ntr acytopl asmi c sper m i njecti on (I CSI) ther apy. A l though the outcome w as sati sfactor y, w i th the bi r th of nor mal chi l dr en fr ee fr om any mal for mati on, most of the obstetr i c and par ti cul ar l y the neonatal compl i cati ons that can be associated with this therapy are illustrated in this case. In addition, from point of view of medi cal costs, concer ns ar e r ai sed about the cur r ent pol i cy of mul ti pl e embr yo tr ansfer w hi ch i s di r ectl y r esponsi bl e for the hi gh r ate of mul ti pl e gestati ons obser ved i n the I VF/I CSI pr ogr amme. The author s consequentl y r ecommend a pol i cy of tr ansferring not more than two embryos per tr eatment cycl e. Twin Research (2000) 3, 76-79.

Multiple Pregnancies

“…Later, they ( 2001 ) described the abnormality of placental development in such nonreduced twin gestations; they found mostly DiDi placentas that were thinner, more infarcted and had anomalous cord insertions. The economic impact and other aspects are discussed by Nkemayim et al ( 2000 ) who also presented suggestions for limitation of blastocysts transferred that is now lawful in several European countries (see also Ozturk and Templeton 2002 who suggest limiting transfer to two blastocysts). Templeton ( 2004 ) , Nunley ( 2004 ) , and an Editorial in Lancet ( 2003 ) have all addressed the problems attending ART and the social implications faced by its practitioners.…”