Monochorionic diamniotic twin pregnancies: natural history and risk stratification.
نویسندگان
چکیده
About 30% of monochorionic twin pregnancies are complicated by twin-to-twin transfusion syndrome (TTTS), isolated discordant growth, twin anemia-polycythemia sequence, congenital defects or intrauterine demise. About 15% will be eligible for invasive fetal therapy, either fetoscopic laser treatment for TTTS or fetoscopic or ultrasound-guided umbilical cord coagulation for a severe congenital defect in one twin or severe discordant growth with imminent demise of the growth-restricted twin. Ultrasound examination in the first and early second trimester can differentiate the monochorionic twins at high risk for adverse outcome from those likely to be uneventful, which may be useful for patient counselling and planning of care.
منابع مشابه
Monochorionic Diamniotic Twin Pregnancies: Natural History and Risk Stratification
About 30% of monochorionic twin pregnancies are complicated by twin-to-twin transfusion syndrome (TTTS), isolated discordant growth, twin anemia-polycythemia sequence, congenital defects or intrauterine demise. About 15% will be eligible for invasive fetal therapy, either fetoscopic laser treatment for TTTS or fetoscopic or ultrasound-guided umbilical cord coagulation for a severe congenital de...
متن کاملMonochorionic Diamniotic Twin Pregnancies: Natural History and Risk Stratification
About 30% of monochorionic twin pregnancies are complicated by twin-to-twin transfusion syndrome (TTTS), isolated discordant growth, twin anemia-polycythemia sequence, congenital defects or intrauterine demise. About 15% will be eligible for invasive fetal therapy, either fetoscopic laser treatment for TTTS or fetoscopic or ultrasound-guided umbilical cord coagulation for a severe congenital de...
متن کاملHigh Risk of Unexpected Late Fetal Death in Monochorionic Twins Despite Intensive Ultrasound Surveillance: A Cohort Study
BACKGROUND The rationale for fetal surveillance in monochorionic twin pregnancies is timely intervention to prevent the increased fetal/perinatal morbidity and mortality attributed to twin-twin transfusion syndrome and intrauterine growth restriction. We investigated the residual risk of fetal death after viability in otherwise uncomplicated monochorionic diamniotic twin pregnancies. METHODS ...
متن کاملMonochorionic Diamniotic Twin Pregnancies: Natural History and Risk Stratification
About 30% of monochorionic twin pregnancies are complicated by twin-to-twin transfusion syndrome (TTTS), isolated discordant growth, twin anemia-polycythemia sequence, congenital defects or intrauterine demise. About 15% will be eligible for invasive fetal therapy, either fetoscopic laser treatment for TTTS or fetoscopic or ultrasound-guided umbilical cord coagulation for a severe congenital de...
متن کاملPerinatal Outcome of Twin Pregnancy and Influence of Chorionicity on It
Background: Monochorionic twin gestations are at increased risk of a variety of pregnancy complications which can be minimized by early antepartum diagnosis and management. This study is to assess the influence of chorionicity in twin pregnancies on perinatal outcome. Materials and Methods: A prospective study was conducted at, Institute of maternal and child health Calicut over a period of one...
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ورودعنوان ژورنال:
- Fetal diagnosis and therapy
دوره 27 3 شماره
صفحات -
تاریخ انتشار 2010