Journal of Human Reproductive Science
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CASE REPORT Table of Contents   
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 54-57
Monochorionic triamniotic triplets following conventional in vitro fertilization and blastocyst transfer


1 Department of Reproductive Medicine, Cloudnine Hospitals, Malleshwaram, Karnataka, India
2 Department of Fetal Medicine, People Tree Hospitals, Bengaluru, Karnataka, India
3 Department of Gynaecology, Cloudnine Hospitals, Malleshwaram, Karnataka, India

Correspondence Address:
Sumana Gurunath
Department of Reproductive Medicine, Cloudnine Hospitals, Malleshwaram, KarnDepartment of Reproductive Medicine, Cloudnine Hospitals, No. 47, 17th Cross, 11th Main, Malleshwaram, Bengaluru, Karnatakaataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1208.153131

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Multiple pregnancy in in vitro fertilization (IVF) is on the decline with a reduction in number of embryos transferred. But the risk of monozygotic splitting persists. The risk of monozygotic twinning in women undergoing IVF is reported to be twice that of natural conception, and monochorionic triplets are even rarer at 100 times more than natural conception. We report a case of monochorionic triamniotic (MCTA) triplets following conventional IVF and blastocyst transfer without zona manipulation. This report highlights the possibility of zygotic splitting in IVF in young couples with no family history, in centers with good experience with blastocyst transfer. MCTA triplets carry a high risk of perinatal mortality and morbidity and need multidisciplinary care. Prevention and prediction of zygotic splitting ought to be realized with better reporting and identification of possible risk factors.


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