Uncomplicated Monochorionic Diamniotic Twins and the Timing of Delivery

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Uncomplicated Monochorionic Diamniotic Twins and the Timing of Delivery

I n the past 20 years, advancing maternal age and greater reliance on assisted-conception techniques have dramatically increased the incidence of multiple births, including monochorionic twins (see Glossary) [1,2]. Concomitantly, there have been advances in our understanding of these high-risk pregnancies. The offspring of multiple pregnancies are at greater risk for adverse perinatal outcomes ...

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Vaginal delivery can be considered in monochorionic diamniotic twins.

The outcomes of 60 sets of monochorionic diamniotic (MCDA) twins were compared with 218 sets of dichorionic diamniotic (DCDA) twins. The caesarean section rates for MCDA were similar to those for DCDA twins (56.6 versus 53.6%, P > 0.1). Although the number of babies with 5-minute Apgar score of <7 was significantly higher for vaginally delivered MCDA twins compared with that of DCDA twins (12 v...

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Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester

BACKGROUND Relatively little is known about the neurodevelopmental and behavioral outcomes of monochorionic diamniotic (MCDA) twin pregnancies where there are no antenatal complications peculiar to monochorionicity or prematurity. METHODS Twenty-two MCDA twins (44 children) with an average age of 4.3 years, and with no antenatal complications detected by 28 weeks of gestation, were recruited ...

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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...

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Prospective 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 ...

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ژورنال

عنوان ژورنال: PLoS Medicine

سال: 2005

ISSN: 1549-1676

DOI: 10.1371/journal.pmed.0020180