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Society for Maternal‐Fetal Medicine Special Statement: Updated checklists for management of monochorionic twin pregnancy [PDF]

Pregnancy
Approximately 20% of twin pregnancies are monochorionic—either monochorionic/diamniotic (MC/DA) or monochorionic/monoamniotic (MC/MA). The management of monochorionic twin pregnancy involves several additional interventions beyond the routine management ...
Society for Maternal‐Fetal Medicine (SMFM), Ruofan Yao, Iffath Abbasi Hoskins, C. Andrew Combs, SMFM Patient Safety and Quality Committee   +4 more
doaj   +3 more sources

Successful delayed-interval delivery in monochorionic diamniotic twin pregnancy: A case report

Case Reports in Women's Health, 2019
Delayed-interval delivery in twin pregnancy is a rare occurrence. It is sometimes performed in twin pregnancies when the first twin is born at the limit of viabililty, to improve outcome for the second twin. It has been suggested that monochorionicity is
Tanja Baltus, Maria Luisa Martin
doaj   +4 more sources

Intrauterine transfusion in monochorionic twins with parvovirus B19 infection: Evidence of intertwin blood exchange. [PDF]

Pregnancy (Hoboken)
Abstract Background Parvovirus B19 infection can cause severe fetal anemia. Management in monochorionic twin pregnancies is challenging due to placental vascular connections. Case We report a case of severe fetal anemia in both fetuses of a monochorionic diamniotic twin pregnancy following maternal parvovirus B19 infection.
Dupuis N, Hervy B, Sohier-Lépine M, Paret L, Vayssière C.   +4 more
europepmc   +2 more sources

Prenatal imaging phenotypes and outcomes of umbilical-portal-systemic venous shunts in singleton and twin pregnancies: A historical cohort study. [PDF]

Acta Obstet Gynecol Scand
This retrospective cohort compared umbilical‐portal‐systemic venous shunts in singleton and twin pregnancies. Type III was the most common subtype in singletons, whereas Type II was the most common in twins. Fetal growth restriction was more frequent in twins, but primary structural anomaly rates were similar.
Zhang Y, Meng M, Wu F, Chen J, Zhou F, Ge Y, Xing Y, Zhou X, Zou G.   +8 more
europepmc   +2 more sources

Case Report: Missed diagnosis of twin reversed arterial perfusion sequence discovered at delivery: lessons from poorly monitored monochorionic twin pregnancy [PDF]

Frontiers in Medicine
Twin reversed arterial perfusion (TRAP) sequence is an extremely rare and serious complication that occurs specifically in multiple monozygotic pregnancies. Early sonography and Doppler examination are the cornerstones for an accurate diagnosis.
Hanane Houmaid, Myriem Sali, Karam Harou, Bouchra Fakhir, Lahcen Boukhanni, Hamid Asmouki, Abderraouf Soummani   +6 more
doaj   +2 more sources

Prenatal ultrasound diagnosis of fetal upper gastrointestinal bleeding in a monochorionic twin pregnancy: a case report [PDF]

BMC Pregnancy and Childbirth
Background Fetal upper gastrointestinal bleeding (UGIB) is an exceptionally rare condition. We report a case of antenatally detected UGIB in a monochorionic diamniotic twin pregnancy, emphasizing key ultrasound features that enabled timely delivery and a
Arthur Gavotto, Arthur Gaudaire, Florent Fuchs   +2 more
doaj   +2 more sources

Characteristics and outcomes of monochorionic diamniotic twin pregnancies complicated by selective fetal growth restriction with intermittent absent end diastolic flow. [PDF]

Pregnancy (Hoboken)
Abstract Introduction Monochorionic diamniotic twins with selective fetal growth restriction (sFGR) are categorized based on the umbilical artery (UA) end diastolic flow (EDF) of the growth‐restricted fetus. While persistent flow abnormalities are attributed to placental insufficiency, intermittent flow changes are often attributed to anastomoses.
Gebb JS, Jampa A, Bakunina V, Zhao Y, Barr K, Bellussi F, Fiorentino D, DeBari S, Oliver ER, Khalek N, Soni S.   +10 more
europepmc   +2 more sources

Twin‐To‐Twin Transfusion Syndrome in Dichorionic‐Triamniotic Triplets Successfully Managed Without Fetoscopic Laser: A Management‐Focused Case Report [PDF]

Clinical Case Reports
Triplet pregnancies are rare (~0.1% of births) and often complicated by prematurity. When one placental unit is monochorionic, there is a risk of twin‐to‐twin transfusion syndrome (TTTS), a severe vascular imbalance affecting monochorionic gestations. We
Ammir Abuzahra, Safwat Jabari, Mohammad Rabaee, Saja Atawneh, Shaimaa Sweity, Rasmiya Qawasmi, Omar Hammam Salloum   +6 more
doaj   +2 more sources

Vanishing acardiac twin with TRAP syndrome: A case report

Radiology Case Reports, 2023
Acardiac twin is a rare complication of monochorionic twin pregnancy. We present case of a 24 years-old primigravida with monochorionic pregnancy having an amorphous acardiac twin diagnosed during routine first trimester ultrasound scan.
Swasti Pathak, MD, DNB, Gaurav Raj, MD
doaj   +1 more source

Assessing an impact on perinatal outcome in monochorionic and dichorionic twin pregnancy complicated with discordant fetal growth

Акушерство, гинекология и репродукция, 2021
Introduction. Multifetal pregnancy is associated with an increased risk of perinatal morbidity and mortality. Type of placentation and discordant fetal growth may be risk factors of adverse pregnancy outcomes.Aim: to compare an impact of dichorionic and ...
K. V. Kostyukov, K. A. Gladkova, O. V. Ionov   +2 more
doaj   +1 more source