Spontan ve IVF ikiz gebeliklerin obstetrik ve perinatal sonuçlarının karşılaştırılması

Aim. After the beginning of in vitro fertilization (IVF) in the clinical practice, the number of multiple pregnancies has increased. There are discussions continuing about being less healthy of babies born after IVF pregnancies. In this study we aimed to compare perinatal and obstetric outcomes of IVF twin pregnancies and spontaneous conceived twin pregnancies. Method. Twin pregnancies terminated in our clinic between 2004 and 2009 were divided in two groups as spontaneous conceived pregnancies and IVF pregnancies. Data were collected from patient files retrospectively. Results. A total of 198 twin pregnancies were enrolled and 29 of the cases were IVF pregnancies. IVF pregnancy rate was 14.6%. Age, gestational age, pregnancy induced hypertension, preterm rupture of membranes, preterm labor, intrauterine growth retardation, anemia, diabetes mellitus, polyhydramnios, oligohydramnios, intrauterine demise of one fetus, method of delivery; height, weight, one minute and five minute APGAR scores, admission to newborn intensive care unit of babies and congenital abnormalities were compared. The gestational age; history of pregnancy induced hypertension, preterm rupture of membranes, intrauterine growth retardation, anemia, diabetes mellitus, polyhydramnios, oligohydramnios, and intrauterine demise of one fetus; height, weight, Apgar scores, admission to newborn intensive care unit of babies; and congenital abnormalities were found similar between the study groups (p>0.05). Preterm labor, cesarean section and maternal age were significantly higher in IVF pregnancies (p<0.05). Conclusion. Twin pregnancies are accepted as high-risk pregnancies because of increased maternal and perinatal morbidity and mortality rates. Pregnancies in IVF patients are achieved in maternal age more than normal pregnancies and in general cesarean delivery rates is higher compared to the normal pregnancies.