Trend in multiple births after Assisted Reproductive

Technology (ART)

Presented byDr Zobayer Mahmud KhanResident of MS, Phase- A, Block- 02

Guided byDr Zinnat Ara Yesmin

Objectives

• Define multiple births

• Mention the causes of multiple

births• Describe the normal

developmental process of multiple births

Objectives (cont…)

• Mention the types of multiple births

• Define ART

• Name the different types of ART

• Explain the mechanism of ART

• Describe the causes of multiple births after ART

• Enumerate the statistical trends

in multiple births after ART

Objectives (cont…)

Multiple

MultipleMultiple

Multiple

Multiple

Multiple

Multiple

Multiple

MultipleMultiple

Births

ART

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Births

Multiple births (cont…)

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Causes of

multiple births

Drugs that help women to become pregnant is the culprit behind high-risk multiple births.

Causes (cont…)

Transferring multiple zygotes for ART, boost the number of high-risk multiple pregnancies.

Normal developmental

process of multiple

pregnancy

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Different Types of multiple births

Types (cont…)

Types (cont…)

Types (cont…)

Types (cont…)

(A R T)

ART (Definition)

Assisted Reproductive Technology (ART) is the procedure that involve manipulation of gametes outside the body for the treatment of infertility.

For which causes we will go for ART

ART (Types)

• In Vitro Fertilization (IVF)• Intra Cytoplasmic Seminal Injection

(ICSI)• Gamete Intra-Fallopian Transfer

(GIFT)• Zygote Intra-Fallopian Transfer

(ZIFT)• Intra Uterine Insemination (IUI)

ART (Types and mechanism)

ART (Types and mechanism)

In Vitro Fertilization (IVU)

ART (Types and mechanism)

Intra Cytoplasmic Seminal Injection (ICSI)

ART (Types and mechanism)

Gamete Intra-Fallopian Transfer(GIFT)

ART (Types and mechanism)

Zygote Intra-Fallopian Transfer (ZIFT)

ART (Types and mechanism)

Intra-Uterine Insemination (IUI)

ART (Types and mechanism)

Mechanism of ART

video

Causes of multiple births after ART

Causes of multiple births after ART (cont…)

Multiple birth

Causes of multiple births after ART (cont…)

ART (complications)

• Pre-term baby• Low birth weight• Developmental anomalies• Complications at birth

ART (complications)

Statistical Trends of multiple births

Statistical Trends of multiple births (cont…)

Frequency of multiple births has increased in recent years and now accounts for over 3% of all live births in the USA

Statistical Trends of multiple births (cont…)

Rate of twin birth

18.9 per 1,000

26.8 per 1,000

Rates of triplet or higher-order (triplet+) births

37.0 per 100,000

173.6 per 100,000

Statistical Trends of multiple births (cont…)

Statistical Trends of multiple births (cont…)

Statistical Trends of multiple births (cont…)

Flashback

Gregory Pincus

Steptoe & Edwards

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Births

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