Selective intrauterine growth restriction in monochorionic-diamniotic twins: diagnosis and management
نویسندگان
چکیده
منابع مشابه
Intrauterine growth restriction in monochorionic-diamniotic twins.
OBJECTIVE to evaluate neonatal morbidity and mortality in monochorionic-diamniotic (MCDA) twin pregnancies complicated by selective intrauterine growth restriction (sIUGR) and non-selective intrauterine growth resctriction (nsIUGR). METHODS neonatal morbidity parameters and mortality were analyzed in 34 twins with IUGR (< 10th percentile on twins' growth charts): 18 with sIUGR and 16 with nsI...
متن کاملSelective intrauterine growth restriction in monochorionic twins: pathophysiology, diagnostic approach and management dilemmas.
Selective intrauterine growth restriction (sIUGR) in monochorionic twins is associated with a substantial increase in perinatal mortality and morbidity for both twins. Clinical evolution depends on the combination of the effects of placental insufficiency in the IUGR twin with inter-twin blood transfer through placental anastomoses. Classification of sIUGR into types according to the characteri...
متن کاملSelective intrauterine growth restriction in monochorionic diamniotic twins: changing patterns in umbilical artery Doppler flow and outcomes: sIUGR in monochorionic twins
Objectives To describe changes in umbilical artery (UA) Doppler flow in monochorionic diamniotic (MCDA) twins affected by selective intrauterine growth restriction (sIUGR), to correlate Doppler findings with pregnancy course and perinatal outcome, and to report postnatal follow-up. Methods This was a retrospective study of 140 MCDA twins with sIUGR. UA end-diastolic flow, defined as Doppler wav...
متن کاملProspective risk of intrauterine death of monochorionic-diamniotic twins.
OBJECTIVE The purpose of this study was to calculate the prospective risk of fetal death in monochorionic-diamniotic twins. STUDY DESIGN We evaluated 193 monochorionic diamniotic twin pregnancies that were followed and delivered after 24 weeks. Surveillance included cardiotocography and sonography performed at least once weekly. The prospective risk of fetal death was calculated as the total ...
متن کاملRight Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
Monochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruction (RVOTO) in recipients with TTTS is known to be higher than in the general population. There i...
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ژورنال
عنوان ژورنال: DEL NACIONAL
سال: 2016
ISSN: 2072-8174
DOI: 10.18004/rdn2016.0008.01.043-061