Monochorionic-triamniotic triplet pregnancy following artificial reproductive technology: Report of a rare case in Taiwan

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2024-05-01 DOI:10.1016/j.tjog.2023.12.002

Siew-Yen Lai , Charles Tsung-Che Hsieh , I-Lin Liao , Tsui-Huang Wu , Yi-Ting Wu , Hsin-Hung Wu , Hong-Der Tsai

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引用次数: 0

Abstract

Objective

Monochorionic-triamniotic (MCTA) triplet pregnancies following artificial reproductive technologies are uncommon. We report a case in which one of two transferred embryos differentiated into an MCTA triplet. This study aimed to investigate the potential factors contributing to MCTA triplet pregnancy.

Case report

A 39-year-old woman underwent her second frozen embryo transfer with hatching blastocysts, which resulted in the detection of an MCTA triplet on ultrasonography. She delivered by cesarean section at 32 weeks of gestation, resulting in the birth of three live male infants. Her medical history and in vitro fertilization treatment were reviewed to identify potential causes.

Conclusion

The etiology of MCTA triplet pregnancy remains multifactorial. In the presented case, prolonged in vitro culture to the blastocyst stage and inner cell mass splitting were potential contributing factors. Further research is needed to fully understand the complexity of MCTA triplet pregnancy.

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人工生殖技术后的单绒毛膜三羊膜妊娠：台湾一例罕见病例报告

目的人工生殖技术后的单绒毛膜三羊膜妊娠（MCTA）并不常见。我们报告了一例移植的两个胚胎中有一个分化成 MCTA 三胞胎的病例。病例报告一位 39 岁的女性接受了她的第二次冷冻胚胎移植并孵化了囊胚，结果在超声波检查中发现了一个 MCTA 三胞胎。她在妊娠 32 周时进行剖宫产，生下了三个活生生的男婴。我们对她的病史和体外受精治疗进行了回顾，以找出可能的原因。在本病例中，延长体外培养至囊胚期和内细胞团分裂是潜在的诱因。要全面了解 MCTA 三胞胎妊娠的复杂性，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.