Define multiple births. Mention the causes of multiple births. Describe the normal developmental process of multiple births. 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. Presented by, Dr Zobayer Mahmud Khan, Resident of MS, Phase- A, Block- 02. Guided by, Dr Zinnat Ara Yesmin.

1. Trend in multiple births after
Assisted Reproductive Technology
(ART)
Presented by
Dr Zobayer Mahmud Khan
Resident of MS, Phase- A, Block- 02
Guided by
Dr Zinnat Ara Yesmin

2. Objectives
• Define multiple births
• Mention the causes of multiple births
• Describe the normal developmental
process of multiple births

3. Objectives (cont…)
• Mention the types of multiple births
• Define ART
• Name the different types of ART
• Explain the mechanism of ART

4. • Describe the causes of multiple
births after ART
• Enumerate the statistical trends
in multiple births after ART
Objectives (cont…)

5. Multiple
Multiple
Multiple
Multiple
Multiple
Multiple
Multiple
Multiple
Multiple
Multiple
Births
ART

7. Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
FetusMultiple
Births
Multiple births (cont…)
.....

8. Causes
of
multiple births

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

10. Causes (cont…)
Transferring multiple
zygotes for ART, boost
the number of high-risk
multiple pregnancies.

11. Normal developmental
process of
multiple pregnancy

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13. Different Types
of
multiple births

14. Types (cont…)

15. Types (cont…)

16. Types (cont…)

17. Types (cont…)

18. (A R T)

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

20. For which causes we will go for ART

21. 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)

22. ART (Types and mechanism)

23. ART (Types and mechanism)

24. In Vitro Fertilization (IVU)
ART (Types and mechanism)

25. Intra Cytoplasmic Seminal Injection (ICSI)
ART (Types and mechanism)

26. Gamete Intra-Fallopian Transfer
(GIFT)
ART (Types and mechanism)

27. Zygote Intra-Fallopian Transfer (ZIFT)
ART (Types and mechanism)

28. Intra-Uterine Insemination (IUI)
ART (Types and mechanism)

29. Mechanism of ART
video

30. Causes of multiple
births after ART

31. Causes of multiple births after ART (cont…)

32. Multiple birth
Causes of multiple births after ART (cont…)

33. ART (complications)
• Pre-term baby
• Low birth weight
• Developmental anomalies
• Complications at birth

34. ART (complications)

35. Statistical Trends
of multiple births

36. 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

37. Statistical Trends of multiple births (cont…)

38. Rate of twin birth18.9 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…)

39. Statistical Trends of multiple births (cont…)

40. Statistical Trends of multiple births (cont…)

41. Flashback
Gregory Pincus Steptoe & Edwards

43. Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
Fetus
FetusMultiple
Births
.....