Once the pregnancy test is positive, the post embryo transfer medications are usually continued for another 2 weeks. A pregnancy scan is then done to confirm the location and no. of pregnancies. In most cases we are able to see the cardiac activity by this time, in next few weeks of pregnancy till the completion of three months medical support Is continued.
The continuation of IVF pregnancy is a spontaneous natural event, neither the pregnant lady nor the doctor can do much apart from waiting and watching to see how the pregnancy is progressing. Sometimes spotting or bleeding can occur. This may be part of the healthy developing pregnancy or it can also indicate miscarriage or very rarely pregnancy in the tubes.
As three months crosses we are more reassured that things will proceed smoothly. Medical support of pregnancy is carried on. Routine antenatal visits including ultrasounds are recommended like any other pregnancy.
The decision for the route of delivery depends on the status of the neck of the womb (cervix) at term pregnancy and other factors like: previous caesarean section if any. Normal vaginal delivery can be recommended to women carrying IVF pregnancies. However the threshold of alarm is high as it is a precious pregnancy and obstetricians do not hesitate to perform a caesarean section if necessary.