scholarly journals Risk factors for fetal death after radiofrequency ablation for complicated monochorionic twin pregnancies

2018 ◽  
Vol 38 (7) ◽  
pp. 499-503 ◽  
Author(s):  
Luming Sun ◽  
Gang Zou ◽  
Yingjun Yang ◽  
Fenhe Zhou ◽  
Duan Tao
Keyword(s):  
Risk Factors ◽  
Radiofrequency Ablation ◽  
Fetal Death ◽  
Monochorionic Twin ◽  
Twin Pregnancies

P10.01: Diffusion MRI findings in monochorionic twin pregnancies after spontaneous intrauterine fetal death

2009 ◽  
Vol 34 (S1) ◽  
pp. 214-214
Author(s):  
S. Lipitz ◽  
B. Weisz ◽  
B. Chayen ◽  
L. Gindes ◽  
R. Achiron ◽  
...  
Keyword(s):  
Diffusion Mri ◽  
Fetal Death ◽  
Intrauterine Fetal Death ◽  
Mri Findings ◽  
Monochorionic Twin ◽  
Twin Pregnancies

scholarly journals Monochorionic twin pregnancies increases perinatal risk and is a high risk factor of selective intrauterine growth restriction

2019 ◽  
Author(s):  
Jie Chen ◽  
Yue Lian Yang
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Prenatal Health ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
High Risk Factor ◽  
Twin Pregnancies

Abstract Background Twins pregnancy can cause a lot of disease, especially monochorionic twin pregnancies, the prenatal infant will have many diseases and have high mortality rate. According to analysis and compare of the twin pregnancy, especially pregnant woman and puerpera’s situation and complication and baby’s situation; we hope we can find the reason which causes the fetus growth restrain of monochorionic twin pregnancies. So we can provide some reference for the prenatal health care, complication prevention and prenatal outcome. Methods We divided 489 cases of twin pregnancies into two groups: monochorionic twin and dichorionic twin and compared the clinical features of them. At last, we used the logistic regression analysis method to analyze the risk factors of selective intrauterine growth restriction(sIUGR). Results The incidences of premature rupture of membranes and sIUGR were significant higher in monochorionic twin and twin-twin transfusion syndrome (TTTS) only exists in monochorionic twin. The weight of the newborn babies(both big and small babies)were significant lower in Monochorionic twin. The neonatal transfer rate was significant higher in monochorionic twin. Gestational weeks and weight of newborn babies are the high risk factors of sIUGR. Conclusions The type of chorion has a great influence to the pregnant period and the ending of maternal women. Monochorionic is a high risk factor of the sIUGR, which means that the main cause of sIUGR is from placenta, so it is a kind of “placental origin disease”.

Cerebral Lesions at Fetal Magnetic Resonance Imaging and Neurologic Outcome After Single Fetal Death in Monochorionic Twins

2015 ◽  
Vol 18 (5) ◽  
pp. 606-612 ◽  
Author(s):  
Birgit Jatzko ◽  
Judith Rittenschober-Böhm ◽  
Mariella Mailath-Pokorny ◽  
Christof Worda ◽  
Daniela Prayer ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Fetal Death ◽  
Fetal Mri ◽  
Neurologic Outcome ◽  
Resonance Imaging ◽  
Fetal Magnetic Resonance Imaging ◽  
Cerebral Lesions ◽  
Monochorionic Twin ◽  
Twin Pregnancies

Background: Single fetal death (sFD) in monochorionic twin pregnancies is associated with substantial morbidity and mortality in the survivor. The aim of our study was to evaluate the rate of cerebral lesions detected at fetal Magnetic Resonance Imaging (MRI) and to correlate the results with the neurologic outcome of the survivors of monochorionic twin pregnancies after sFD. Methods: Between 2005 and 2012, 11 monochorionic twin pregnancies with sFD and subsequent fetal MRI of the survivor were included. All neonates underwent neurologic assessment after birth and 56% of surviving infants underwent long-term neurologic assessment. MRI findings and neurologic outcome of the survivors were evaluated. Results: Gestational age at sFD was 20.9 (±2.9) weeks; 55% (6/11) of survivors of monochorionic twin pregnancies after sFD showed cerebral lesions at fetal MRI; 72% (8/11) of all survivors had normal neonatal neurologic outcome: all survivors with normal fetal MRI and 50% of survivors with cerebral lesions at fetal MRI. Long-term neurologic assessment was normal in all tested patients with normal fetal MRI and in one of three tested patients with cerebral lesions at fetal MRI. Conclusion: Survivors of monochorionic twin pregnancies after sFD show a high rate of cerebral lesions at fetal MRI. The importance of cerebral lesions at fetal MRI in survivors after sFD in monochorionic twin pregnancies is uncertain. All tested survivors with normal fetal MRI showed normal neurologic outcome but only one of three survivors with cerebral lesions at fetal MRI showed normal long-term neurologic outcome.

scholarly journals Diffusion MRI Findings in Monochorionic Twin Pregnancies after Intrauterine Fetal Death

2012 ◽  
Vol 34 (1) ◽  
pp. 212-216 ◽  
Author(s):  
C. Hoffmann ◽  
B. Weisz ◽  
Y. Yinon ◽  
L. Hogen ◽  
L. Gindes ◽  
...  
Keyword(s):  
Diffusion Mri ◽  
Fetal Death ◽  
Intrauterine Fetal Death ◽  
Mri Findings ◽  
Monochorionic Twin ◽  
Twin Pregnancies

399: Diffusion MRI findings in monochorionic twin pregnancies after intra-uterine fetal death

2008 ◽  
Vol 199 (6) ◽  
pp. S121
Author(s):  
Boaz Weisz ◽  
Chen Hoffman ◽  
Benjamin Chayenn ◽  
Iiat Gindes ◽  
Eyal Sivan ◽  
...  
Keyword(s):  
Diffusion Mri ◽  
Fetal Death ◽  
Mri Findings ◽  
Monochorionic Twin ◽  
Twin Pregnancies

scholarly journals The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome

2016 ◽  
Vol 40 (2) ◽  
pp. 100-109 ◽  
Author(s):  
Scott G. Petersen ◽  
Kristen S. Gibbons ◽  
Francois I. Luks ◽  
Liesbeth Lewi ◽  
Anke Diemert ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Preterm Birth ◽  
Laser Surgery ◽  
Fetal Death ◽  
Cervical Length ◽  
Exclusion Criteria ◽  
Instrument Choice ◽  
The Impact ◽  
Twin Pregnancies

Objective: To evaluate the impact of entry method and access diameter at fetoscopic surgery for twin-twin transfusion syndrome in twin pregnancies with at least one survivor. The outcomes evaluated were prelabour rupture of membranes (PROM) and birth <4 weeks, preterm birth (PTB) <28 weeks, and latency to birth. Methods: A retrospective analysis of prospectively collected data of consecutive laser procedures from 6 centers was performed. Three entry methods (sheath + trocar; cannula + trocar; cannula + Seldinger) and 6 access diameters (2.3, 3.0, 3.3, 3.5, 3.8, 4.0 mm) were used. Exclusion criteria were subsequent invasive interventions, termination of pregnancy or double fetal death after laser. Multivariate analysis was performed to determine risk factors for the study outcomes. Results: Six hundred seventy three fetoscopic laser cases were analyzed. The use of different entry methods and access diameters did not affect PROM or birth <4 weeks, or latency from laser to birth. Access diameter was associated with PTB <28 weeks. Cervical length was associated with PROM and birth <4 weeks, and latency from laser to birth. Conclusion: Instrument choice at fetoscopic laser procedures did not affect outcomes <4 weeks. Access diameter may affect the likelihood for PTB <28 weeks. Cervical length is critically associated with obstetrical outcomes following laser surgery.

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