Infertility


Multiple Pregnancy By Age CRH 1998-2003



The use of IVF procedures results in an increased risk for multiple gestation. This table demonstrates risk for multiple gestation, including twins and higher order pregnancies (triplets or more) based upon the age of the female partner. This data from our program clearly indicate that the highest risk for multiple gestation is in the < 35 age group. It is our goal to minimize the risk of multiple gestation while maximizing the chances for pregnancy. Therefore, we have general guidelines to limit the number of embryos transferred. The use of blastocyst transfer may also be used to achieve this goal. However, we do manage each case individually, and there are some instances in which a couple may wish to transfer more than the recommended number of embryos. We attempt to be responsive to the needs of the couple, while balancing the number of embryos transferred with the risk of higher order pregnancy. Based on data from the CDC, the average number of embryos transferred (all ages) per patient for fresh cycles in our program is 2.9 in non-donor cycles, and 2.8 in donor cycles.


Multiples/Total Pregnancies


Age < 35

Age 35-7

Age 38-40

Age 41

Twins

30/1476
(20.4%)

 9/147
(6.1%)

 4/147
(2.7%)

      0

Triplets

 8/147
(5.4%)

 6/147
(4.0%)

 1/147
(< 1%)

      0



A comparison of clinic success rates may not be meaningful because patient medical characteristics and treatment approaches may vary from clinic to clinic.







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