WS13-03Dynamics and clinical significance of placental shunt flow in monochorionic diamniotic twins

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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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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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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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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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Selective 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...

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ژورنال

عنوان ژورنال: Ultrasound in Obstetrics and Gynecology

سال: 2000

ISSN: 0960-7692

DOI: 10.1046/j.1469-0705.2000.00009-1-79.x