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Obstetrical complications and neonatal outcome in multiple gestations: assisted reproduction versus spontaneous conception

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Author(s): Sofia Figueiredo

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830


ABSTRACT
Introduction and objective - There is ample evidence that singletons born after assisted reproductive technology (ART) have more obstetrical complications and poorer neonatal outcomes when compared with their spontaneously conceived (SC) counterparts. Similar comparisons for twins show conflicting results. The aim of this study was to evaluate perinatal and neonatal outcomes in ART versus SC twins. Study design - Retrospective case-control study.Population and Methods - A total of 234 twins born in our hospital between 2006 and 2008 were studied, 70 from ART and 164 from SC pregnancies. Their clinical files were reviewed to extract information on the main obstetrical complications and neonatal outcomes. Results - Compared with SC twins, ART twins were more likely to be born to older, primiparous mothers. They were at increased risk of preterm birth

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