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Advanced heterotopic pregnancy after in-vitro fertilization and embryo transfer, with survival of both the babies and the mother.
Authors:S Bassil  J L Pouly  M Canis  L Janny  P Vye  C Chapron  M A Bruhat
Institution:Service de Gynécologie, Obstétrique, H?tel Dieu, Clermont-Ferrand, France.
Abstract:A combination of an extra-uterine and an intra-uterine pregnancy is defined as heterotopic pregnancy. An infertile patient, pregnant at her fourth in-vitro fertilization/embryo transfer attempt, was diagnosed at 21 weeks' gestation as having simultaneous abdominal and intra-uterine pregnancy. Expectant management under strict hospitalization was proposed and accepted by the couple, fetal assessment was by serial ultrasound evaluation of growth and amniotic fluid volume and by non-stress tests. Planned operative delivery was accomplished at 34 weeks' gestation. Both the mother and infants are alive and well.
Keywords:heterotopic pregnancy/hospitalization/in-vitro fertilization/pregnancy outcome
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