Study on diagnosis and management strategies on heterotopic pregnancy: a retrospective study

Autor: Yan Zhang, Xiujuan Chen, Yuan Lin, Chengying Lian, Xiumei Xiong
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Obstetrics and Gynaecology, Vol 43, Iss 1 (2023)
Druh dokumentu: article
ISSN: 0144-3615
1364-6893
01443615
DOI: 10.1080/01443615.2022.2152660
Popis: Heterotopic pregnancy (HP) is a rare but potentially life-threatening event with a high risk of maternal death, which also jeopardise the coexisting intrauterine pregnancy (IUP), thus an early accurate diagnosis and prompt treatment can decrease adverse complications. We aimed to explore the early predictors for pregnancy outcomes of HP. We reviewed patients with HP following assisted reproductive technology in our institution between January 2013 and December 2020. The relationships between pregnancy outcomes and clinical features were analysed by logistic regression. We found that 29 patients (72.5%) of HP were accurately diagnosed by transvaginal ultrasonography (TVS). Eighteen patients in the surgery group had live births, three of whom delivered preterm. Additionally, the miscarriage rate was lower for patients with IUP cardiac activity than those without (16.7% vs. 90.0%, p
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