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Spontaneous Heterotopic Pregnancy with Unaffected Intrauterine Pregnancy: Systematic Review of Clinical Outcomes.

Medicina (Kaunas) · 2020 · PMC7760697 · PMID 33266145

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an increasing trendno p-value reported
The prevalence of heterotopic pregnancy has seen an increasing trend in the last decades, which may be attributed to the increased use of ovulation induction [ 6 ] and medically assisted pregnancies [ 7 ], rarely occurring with natural conception [ 8 , 9 , 10 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.