Complications of triple pregnancy following intracytoplasmic sperm injection: a case report.
A case is presented of pregnancy and delivery of triplets following intracytoplasmic sperm injection (ICSI) therapy. Although the outcome was satisfactory, with the birth of normal children free from any malformation, most of the obstetric and particularly the neonatal complications that can be associated with this therapy are illustrated in this case. In addition, from point of view of medical costs, concerns are raised about the current policy of multiple embryo transfer which is directly responsible for the high rate of multiple gestations observed in the IVF/ICSI programme. The authors consequently recommend a policy of transferring not more than two embryos per treatment cycle.
Nkemayim
D C
DC
Department of Obstetrics and Gynaecology, College of Medicine, University of Saarland, Homburg, Germany. frmham@med-rz.uni-sb.de
Hammadeh
M E
ME
Hippach
M
M
Rosenbaum
P
P
Schmidt
W
W
D000328:Adult; D000740:Anemia / Q000209:etiology; D001201:Ascites / Q000209:etiology; D002585:Cesarean Section; D036861:Delivery, Obstetric; D004624:Embryo Transfer / Q000191:economics; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000191:economics; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D016471:Ovarian Hyperstimulation Syndrome / Q000209:etiology; D010996:Pleural Effusion / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology; D020554:Sperm Injections, Intracytoplasmic / Q000009:adverse effects* / Q000191:economics; D013536:Suture Techniques; D014310:Triplets; D002581:Uterine Cervical Incompetence / Q000601:surgery