Comparison of Feto-maternal Effects of Twin Pregnancies and Twin Pregnancies Caused By Assisted Reproductive Technology

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dc.contributor.authorOzcil, Mustafa Dogan
dc.date.accessioned2024-09-18T20:59:05Z
dc.date.available2024-09-18T20:59:05Z
dc.date.issued2021
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: Comparison of the effects of twin pregnancies using assisted reproductive technology (ART) and spontaneous twin pregnancies on maternal-fetal parameters. Methods: A total of 5,670 patients who were deliveried in our clinic between 01.01.2011 and 31.12.2017 were analyzed retrospectively. The fetomaternal results of 94 mothers who deliveried to twins and their infants were compared. Results: Of the 5,670 patients who gave birth, 94 were twins (1/60) and 8 were triplets (1/709). Twin births account for 92% of multiple births. The incidence of spontaneous twin pregnancy was 1/77 and constituted 79% of all the twin deliveries. The effect of ART on was found to be 21% [17% in vitro fertilization (IVF), 4% ovulation induction]. Mean maternal age was 29.25 +/- 6.00 years in twin pregnancy deliveries, 28.50 +/- 6.09 years in mothers who had spontaneous twin group, and 32.54 +/- 5.09 years in twin births due to ART. When anemia was excluded, maternal morbidity was 27% in twin pregnancy deliveries. Pre-eclampsia was determined in 19% of the cases and anemia in 63%. Delivery before 37 gestational weeks was recorded in 72.3% of IVF twins and 70.2% of spontaneous twins. The rate of live births was found to be higher in spontaneously conceived twins (p=0.004). The fetal mortality rate was 5.4% in spontaneous twin pregnancies and 20% in twin pregnancies with ART (p=0.003). The perinatal mortality index was determined to be 81 in spontaneously conceived twins, and 250 in the twin pregnancies obtained with ART (p=0.006). Conclusion: Premature birth and fetal mortality rates are higher in twin pregnancies obtained with ART than in spontaneous twins. The mortality associated with multiple pregnancies may be reduced with preventive measures such as low-dose gonadotropin use, single embryo transfer, and multifetal embryo reduction.en_US
dc.identifier.doi10.4274/jarem.galenos.2020.3773
dc.identifier.endpage23en_US
dc.identifier.issn2146-6505
dc.identifier.issn2147-1894
dc.identifier.issue1en_US
dc.identifier.startpage17en_US
dc.identifier.trdizinid466464en_US
dc.identifier.urihttps://doi.org/10.4274/jarem.galenos.2020.3773
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/466464
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12359
dc.identifier.volume11en_US
dc.identifier.wosWOS:000691755900004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isotren_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Academic Research in Medicine-Jaremen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSpontaneous pregnancyen_US
dc.subjectassisted reproductive technologyen_US
dc.subjectmultiple pregnancyen_US
dc.titleComparison of Feto-maternal Effects of Twin Pregnancies and Twin Pregnancies Caused By Assisted Reproductive Technologyen_US
dc.typeReview Articleen_US

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