scholarly journals A rare case of triplet pregnancy with three different fates of each conceptus

2017 ◽  
Vol 11 (2) ◽  
pp. 56-58
Author(s):  
Sayanti Paul ◽  
S Mandal ◽  
M Upadhyaya ◽  
SR Pramanik

Rate and number of multifetal gestations have increased dramatically largely due to infertility therapy. A number of pregnancies are multifetal to start with followed by spontaneous reduction of one or more embryos. The final outcomes of such pregnancies vary in relation to zygosity, chorionicity and gestational age. In this case report we present a triplet pregnancy resulting from controlled ovarian hyperstimulation followed by intrauterine-insemination in a primarily infertile patient and how it ended up into a singleton pregnancy with no conscious attempts at selective reduction or selective termination. While fighting with problem of multiple pregnancies which comes along with the widespread infertility treatment nature has its own miraculous way to get rid of such. Little patience and watchful expectancy from the part of obstetrician can achieve a healthy live baby without inadvertent complication.

2009 ◽  
Vol 19 (1) ◽  
pp. 147-151 ◽  
Author(s):  
Aera R. Han ◽  
Yong-Soon Kwon ◽  
D. Y. Kim ◽  
J. H. Kim ◽  
Y. M. Kim ◽  
...  

Objectives:To evaluate the outcomes of pregnancy in young women (<40 years old) with early endometrial cancer or atypical complex hyperplasia who were treated by conservative management followed by assisted reproductive technology (ART).Materials and Methods:Medical charts of 11 patients treated from January 1997 to October 2007 at Asan Medical Center were retrospectively reviewed. These patients had all been treated with progestin and serial dilatation and curettage as primary fertility-preserving therapies.Results:After pathological remission of disease, 10 patients tried to become pregnant by ART, 4 by in vitro fertilization and embryo transfer, and 6 by controlled ovarian hyperstimulation, with or without intrauterine insemination. Eight women had intrauterine pregnancies, and 6 patients had live births. Patients have been followed up for 9 to 51 months (mean, 21 months) after delivery, with no evidence of tumor recurrence.Conclusions:Fertility-preserving therapy followed by ART can be a good option in well-selected patients with early endometrial cancer who want to become pregnant.


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