title: Twin pregnancy following gonadotrophin therapy in a patient with Sheehan's syndrome.
abstract: A case of Sheehan's syndrome presented with secondary amenorrhea and was put on L-thyroxine, prednisolone and cyclical estrogen and progestin. Ovulation induction with gonadotrophins and intrauterine insemination with husband's semen resulted in a twin pregnancy. Antepartum course was complicated by bronchial asthma, gestational diabetes and pregnancy-induced hypertension. Cesarian section was done at 34 weeks gestation for preterm rupture of membranes and breech presentation. Both babies and their mother were doing well at 6 months of follow-up.
authors.affiliation: Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India. kriplani@medinst.ernet.ie
authors.forename: A
authors.initials: A
authors.lastname: Kriplani
authors.forename: D
authors.initials: D
authors.lastname: Goswami
authors.forename: N
authors.initials: N
authors.lastname: Agarwal
authors.forename: N
authors.initials: N
authors.lastname: Bhatla
authors.forename: A C
authors.initials: AC
authors.lastname: Ammini
mesh_terms: D000328:Adult; D000568:Amenorrhea / Q000097:blood / Q000150:complications* / Q000188:drug therapy*; D001249:Asthma / Q000150:complications / Q000628:therapy; D001946:Breech Presentation; D002585:Cesarean Section; D016640:Diabetes, Gestational / Q000150:complications / Q000628:therapy; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use*; D005322:Premature Rupture of Fetal Membranes / Q000150:complications / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000628:therapy; D007018:Hypopituitarism / Q000150:complications*; D008596:Menotropins / Q000627:therapeutic use*; D010062:Ovulation Induction / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011256:Pregnancy Outcome; D014427:Twins
chemical_list: D005300:Fertility Agents, Female; D008596:Menotropins