248例辅助生殖技术后双胎妊娠结局

目的探讨辅助生殖技术后多胎妊娠的临床结局。方法回顾性对照分析42例辅助生殖技术后双胎（A组）与143例辅助生殖技术后单胎（B组）、54例自然受孕双胎（C组）的孕期并发症、分娩方式及围产儿结局。结果辅助生殖双胎组卵巢过度刺激综合征、早产、胎膜早破、低体重儿发生率高于单胎组，而妊娠高血压疾病、妊娠期糖尿病等合并症的发生率与单胎组差异无显著性；辅助生殖双胎组与自然受孕双胎组母体合并症发生率差异无显著性，且新生儿预后良好。结论辅助生殖治疗多胎妊娠率高，为高危孕妇，故要予以高度重视，加强监护。

The analysis on the clinical effects of the twin pregnancy after assistant reproductive technology

Objective To investigate the clinic results of twin pregnancy after assisted labor. Methods The complications, way of delivery and perinatal situation were analyzed retrospectively among 42 twin pregnancy(A group) and 143 single pregnancy(B group) who had used assisted delivery technology and 54 twin pregnancy(C group) who had not used assisted delivery technology. Results Compared with Group B, the incidence of OHSS, premature delivery, premature membrane rupture, and low birth weight was higher in Group A. However, there was no significant difference in the incidence of complications among the three groups. Conclusion The incidence of multi-pregnancy is higher in pregnancy needing assisted delivery technology. This kind of high risk pregnancy needs specialized and intensive ante partum care.