[Prevention of iatrogenic multiple pregnancies].
A significant increase of twin and multiple pregnancies induced by infertility treatment has been observed. These high-risk pregnancies should be efficiently prevented. Gonadotrophin treatment for anovulation being the main culprit, it should be undertaken: 1) if other induction methods have failed. 2) under strict echographic and hormonal monitoring. After in vitro fertilization, number of embryos replaced should be selectively limited (to 2 or 3) on the basis of their vitality scores. Partial reduction of a multiple pregnancy should remain an exceptional solution.
Leroy
F
F
Clinique de Procréation assistée, Hôpital Universitaire Saint-Pierre, U.L.B., Bruxelles.
Lejeune
B
B
Barlow
P
P
Van Rysselberge
M
M
Claus
K
K
D000858:Anovulation / Q000188:drug therapy; D005260:Female; D005300:Fertility Agents, Female / Q000008:administration & dosage* / Q000009:adverse effects; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011272:Pregnancy, Multiple / Q000187:drug effects*; D014310:Triplets; D014427:Twins
D005300:Fertility Agents, Female
La prévention des grossesses multiples iatrogènes.