RESUMEN
Introduction: Regarding to the recent advances in assisted reproductive techniques [ART], twin and multiple pregnancies have increased during past years
Objective: This study was performed to compare obstetrics and perinatal outcomes of dichorionic twin pregnancy following ART with spontaneous pregnancy
Materials and Methods: In this cross-sectional study which was performed in Ghaem Hospital, Mashhad University of Medical Sciences, 107 dichorionic twin pregnancy were enrolled in two groups: spontaneous group [n=96] and ART group [n=31]. Basic criteria and obstetrics and neonatal outcomes information including demographic data, gestational age, mode of delivery, pregnancy complications [preeclampsia, gestational diabetes, preterm labor, and intrauterine growth retardation [IUGR], postpartum hemorrhage], neonatal outcomes [weight, first and fifth minuteP PApgar score, Neonatal Intensive Care Unit [NICU] admission, mortality, respiratory distress, and icterus] were recorded using a questionnaire
Results: Preterm labor, gestational diabetes, and preeclampsia were significantly higher in ART group compared to spontaneous pregnancy group. However, other factors such as anemia, IUGR, postpartum hemorrhage, and intrauterine fetal death [IUFD] were not significantly different between groups. There were no significant differences between groups in terms of neonatal outcomes [weight, 1PstP and 5PthP min Apgar score <7, NICU hospitalization, mortality, respiratory distress, and icterus]
Conclusion: With regard of significantly higher poor outcomes such as preeclampsia, gestational diabetes and preterm labor in ART group, the couples should be aware of these potential risks before choosing ART