Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization

Objective: To determine the relationship between prior obstetrical history and gestational age at delivery in a twin pregnancy. Design: Retrospective cohort study using the United States Society for Assisted Reproductive Technology Clinic Outcomes Reporting System database. Setting: Clinic-based dat...

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Main Authors: Michael S. Awadalla, M.D., Wael H. Salem, M.D., Jacqueline R. Ho, M.D., Victoria K. Cortessis, Ph.D., Ali Ahmady, Ph.D., Richard J. Paulson, M.D., M.S.
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:F&S Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666334123000053
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author Michael S. Awadalla, M.D.
Wael H. Salem, M.D.
Jacqueline R. Ho, M.D.
Victoria K. Cortessis, Ph.D.
Ali Ahmady, Ph.D.
Richard J. Paulson, M.D., M.S.
author_facet Michael S. Awadalla, M.D.
Wael H. Salem, M.D.
Jacqueline R. Ho, M.D.
Victoria K. Cortessis, Ph.D.
Ali Ahmady, Ph.D.
Richard J. Paulson, M.D., M.S.
author_sort Michael S. Awadalla, M.D.
collection DOAJ
description Objective: To determine the relationship between prior obstetrical history and gestational age at delivery in a twin pregnancy. Design: Retrospective cohort study using the United States Society for Assisted Reproductive Technology Clinic Outcomes Reporting System database. Setting: Clinic-based data. Patient(s): Patients undergoing in vitro fertilization (IVF) in the United States with live delivery of twins. Intervention(s): None. Main outcome measure(s): The main outcome measures are median gestational age at delivery and rate of preterm delivery (before 37 weeks). Result(s): The median gestational age at delivery of IVF-conceived twins was 36.3 (interquartile rate 34.4, 37.6) weeks for nulliparous women, 35.9 (34.0, 37.1) weeks for parous women with a prior preterm birth, and 36.7 (35.1, 37.7) weeks for parous women without a prior preterm birth. The rate of preterm delivery was 61% for nulliparous women, 70% for parous women with a prior preterm birth, and 55% for parous women without a prior preterm birth. Conclusion(s): Parous women without a history of preterm delivery had lower rates of preterm delivery in a subsequent twin pregnancy than nulliparous women. Nulliparous women had lower rates of preterm delivery compared with parous women with a history of preterm delivery.
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spelling doaj.art-c282b355a8b84f4cb3afd92027cd939a2023-03-11T04:20:39ZengElsevierF&S Reports2666-33412023-03-01414954Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilizationMichael S. Awadalla, M.D.0Wael H. Salem, M.D.1Jacqueline R. Ho, M.D.2Victoria K. Cortessis, Ph.D.3Ali Ahmady, Ph.D.4Richard J. Paulson, M.D., M.S.5Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California; Reprint requests: Michael S. Awadalla, M.D, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California Medical Center, 2020 Zonal Avenue, IRD Room 533, Los Angeles, California 90033.Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaObjective: To determine the relationship between prior obstetrical history and gestational age at delivery in a twin pregnancy. Design: Retrospective cohort study using the United States Society for Assisted Reproductive Technology Clinic Outcomes Reporting System database. Setting: Clinic-based data. Patient(s): Patients undergoing in vitro fertilization (IVF) in the United States with live delivery of twins. Intervention(s): None. Main outcome measure(s): The main outcome measures are median gestational age at delivery and rate of preterm delivery (before 37 weeks). Result(s): The median gestational age at delivery of IVF-conceived twins was 36.3 (interquartile rate 34.4, 37.6) weeks for nulliparous women, 35.9 (34.0, 37.1) weeks for parous women with a prior preterm birth, and 36.7 (35.1, 37.7) weeks for parous women without a prior preterm birth. The rate of preterm delivery was 61% for nulliparous women, 70% for parous women with a prior preterm birth, and 55% for parous women without a prior preterm birth. Conclusion(s): Parous women without a history of preterm delivery had lower rates of preterm delivery in a subsequent twin pregnancy than nulliparous women. Nulliparous women had lower rates of preterm delivery compared with parous women with a history of preterm delivery.http://www.sciencedirect.com/science/article/pii/S2666334123000053In vitro fertilizationtwin gestationpreterm deliveryparity
spellingShingle Michael S. Awadalla, M.D.
Wael H. Salem, M.D.
Jacqueline R. Ho, M.D.
Victoria K. Cortessis, Ph.D.
Ali Ahmady, Ph.D.
Richard J. Paulson, M.D., M.S.
Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
F&S Reports
In vitro fertilization
twin gestation
preterm delivery
parity
title Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
title_full Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
title_fullStr Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
title_full_unstemmed Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
title_short Effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
title_sort effects of parity on preterm delivery in twin gestations conceived with in vitro fertilization
topic In vitro fertilization
twin gestation
preterm delivery
parity
url http://www.sciencedirect.com/science/article/pii/S2666334123000053
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