International Journal of Infertility & Fetal Medicine

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VOLUME 8 , ISSUE 3 ( September-December, 2017 ) > List of Articles

CASE REPORT

Successful Live Births after Laparoscopic Management of Heterotypic Pregnancies in Assisted Reproductive Technology Cycles: A Tertiary Fertility Center Experience

Pooja Singh, Aradhana Kalra, Purnima K Nadkarni, Akshay K Nadkarni

Citation Information : Singh P, Kalra A, Nadkarni PK, Nadkarni AK. Successful Live Births after Laparoscopic Management of Heterotypic Pregnancies in Assisted Reproductive Technology Cycles: A Tertiary Fertility Center Experience. Int J Infertil Fetal Med 2017; 8 (3):125-127.

DOI: 10.5005/jp-journals-10016-1161

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

To review and analyze the incidence of heterotypic pregnancies after intracytoplasmic sperm injection (ICSI) and embryo transfer and to report pregnancy outcome after successful management of heterotypic pregnancies.

Setting

Nadkarni's 21st Century Hospitals and Test Tube Baby Center, Surat, Gujarat, India.

Design

Retrospective study.

Materials and methods

Retrospective data were taken from hospital records from January 2013 to December 2015. A total of 2,771 patients underwent in vitro fertilization IVF/ICSI, out of which 1,455 patients were pregnant (52.5%). Out of the pregnant patients, the incidence of ectopic (EP) and heterotypic pregnancies was calculated. The etiological factors, management of heterotypic pregnancies, and their pregnancy outcome were reported.

Conclusion

Out of the 1,455 pregnant patients, there were 29 EPs (EPs: 1.99%) and 5 were heterotypic (0.34%). Laparoscopic intervention was done for all five of them and successful pregnancy outcome was reported in terms of live birth.

Clinical significance

Heterotypic pregnancy is rare and poses a diagnostic dilemma in assisted reproductive technology (ART) cycles. Serial beta-human chorionic gonadotropin (hCG) measurement is not reliable and ultrasonography may not confirm due to the presence of ovarian hyperstimulation syndrome (OHSS) or multiple cysts. Early diagnosis is ideal and good perinatal outcome can be achieved by prompt and excellent laparoscopic management of the heterotypic pregnancies.

How to cite this article

Kalra A, Nadkarni AK, Nadkarni PK, Singh P. Successful Live Births after Laparoscopic Management of Heterotypic Pregnancies in Assisted Reproductive Technology Cycles: A Tertiary Fertility Center Experience. Int J Infertil Fetal Med 2017;8(3):125-127.


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