To the best of our knowledge, this is the first published report of this kind. Here, we describe a rare case of repeated triplet pregnancy complicated by a monochorionic diamniotic twin in a patient after assisted reproduction.

Regarding dichorionic triplets pregnancy, the rate was only 0.004% among all the pregnancies, as previously reported. It is well-known that monochorionic twins are at high risk of maternal and fetal complications, including low birthweight, preterm birth, twin-twin transfusion syndrome(TTTS), umbilical cord accidents and perinatal mortality. Monochorionic twin occupies most of the proportion of the incidence in monozygotic twinning.

There are three types of monozygotic: dichorionic-diamniotic, monochorionic-diamniotic and monochorionic-monoamniotic. According to published studies, the incidence of MZT after ART varies from 1.57 to 13.2% compared with the natural conception rate of 0.4%. Many studies have demonstrated that an increased risk of monozygotic twins(MZT) was associated with assisted reproductive techniques(ART) procedures. Our case report of repeated triplets with monochorionic twins suggests the potential causes and risk factors of monochorionic twinning in assisted reproduction and raises concern regarding the timing of multifetal pregnancy reduction. Both of the pregnancies ended with successful live births. The subsequent pregnancy resulted in a dichorionic diamniotic twin pregnancy after the heartbeat of one of the monochorionic twin fetuses stopped at 43 days after embryo transfer. The first pregnancy resulted in a singleton delivery after a selective reduction of the monochorionic pair. The two cycles were confirmed by transvaginal ultrasound to result in successful clinical pregnancies of triplets complicated by a monochorionic twinning. Case presentationĪ 30-year-old female undergoing embryo transfer with fresh and frozen embryo cycles with autologous oocytes. Here, we report a case of repeated triplets complicated by monochorionic diamniotic twins with successful pregnancy outcomes in a woman using autologous oocytes. Let us know what you need today.Monochorionic twinning involves numerous maternal and fetal complications, triplets complicated by a monochorionic pair are at further increased risk. We can create custom ultrasounds for you using images you send to us, or we can create something from scratch. Custom Ultrasounds Can’t find what you are looking for? Not a problem.3D Triplets 3d Triplets Ultrasound Images.2d Triplets 2d Triplets Prank Ultrasound Images.Triplets Choose from a selection of 2D and 3D triplets ultrasound images.3D Twins 3d Twins Prank Ultrasound Images.2d Twins 2d Twins Fake Ultrasound Images.Twins Twins 2d and 3d fake ultrasound images.

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