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Human Reproduction, Vol. 6, No. 7, pp. 1008-1010, 1991
© 1991 European Society of Human Reproduction and Embryology

case-report

CASE REPORT

Advanced heterotopic pregnancy after in-vitro fertilization and embryo transfer, with survival of both the babies and the mother

S. Bassil1, J.L. Pouly, M. Canis, L. Janny2, P. Vye2, C. Chapron and M.A. Bruhat

Service de Gynécologie-Obstétrique, Médicine de la Reproduction Polyclinique Hôtel Dieu, 63033 Clermont-Ferrand Cedex, France 2Laboratoire de Biologie de la Reproduction Polyclinique Hôtel Dieu, 63033 Clermont-Ferrand Cedex, France

Correspondence: 1To whom correspondence should be addressed

A combination of an extra-uterine and an intra-uterine pregnancy is defined as heterotopic pregnancy. An infertile patient, pregnant at her fourth in-vitro fertilization/embryo transfer attempt, was diagnosed at 21 weeks' gestation as having simultaneous abdominal and intra-uterine pregnancy. Expectant management under strict hospitalization was proposed and accepted by the couple, fetal assessment was by serial ultrasound evaluation of growth and amniotic fluid volume and by non-stress tests. Planned operative delivery was accomplished at 34 weeks' gestation. Both the mother and infants are alive and well.

Key words: heterotopic pregnancy/hospitalization/in-vitro fertilization/pregnancy outcome


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