Monozygotic Triplets and Dizygotic Twins following Transfer of Three Poor-Quality Cleavage Stage Embryos.
Abstract
Background. Assisted reproductive technology has been linked to the increased incidence
of monozygotic twinning. It is of clinical importance due to the increased risk of
complications in multiple pregnancies in general and in monozygotic twins in particular.
Case. A 29-year-old female, nulligravida underwent her first IVF cycle. Three poor-quality
cleavage stage embryos were transferred resulting in monochorionic triamniotic triplets
and dichorionic diamniotic twins. Selective embryo reduction was performed at 12 weeks
leaving dichorionic twins. The patient underwent emergency cesarean section due to
preterm labor and nonreassuring fetal heart tracing at 30 weeks of gestation. Conclusion.
Our case emphasizes that even embryos with significant morphological abnormalities
should be considered viable and the possibility of simultaneous spontaneous embryo
splitting must be factored into determining number of embryos to transfer.
Type
Journal articlePermalink
https://hdl.handle.net/10161/15640Published Version (Please cite this version)
10.1155/2012/763057Publication Info
Tal, Reshef; Fridman, Dmitry; & Grazi, Richard V (2012). Monozygotic Triplets and Dizygotic Twins following Transfer of Three Poor-Quality
Cleavage Stage Embryos. Case Rep Obstet Gynecol, 2012. pp. 763057. 10.1155/2012/763057. Retrieved from https://hdl.handle.net/10161/15640.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Dmitry Fridman
Assistant Professor of Obstetrics and Gynecology
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