scholarly journals Fetal venous circulation in monochorionic twin pregnancies with placental insufficiency: prediction of acidemia at birth or intrauterine fetal death

2014 ◽  
Vol 43 (4) ◽  
pp. 426-431 ◽  
Author(s):  
T. B. Liao ◽  
R. M. Y. Nomura ◽  
A. W. Liao ◽  
R. P .V. Francisco ◽  
M. Zugaib
Keyword(s):  
Fetal Death ◽  
Placental Insufficiency ◽  
Intrauterine Fetal Death ◽  
Monochorionic Twin ◽  
Venous Circulation ◽  
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 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

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

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 Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 927
Author(s):  
María de la Calle ◽  
Jose L. Bartha ◽  
Henar Serrano ◽  
David Ramiro-Cortijo
Keyword(s):  
Fetal Death ◽  
Gestational Hypertension ◽  
Rare Complication ◽  
Intrauterine Fetal Death ◽  
Obstetric Outcomes ◽  
P Value ◽  
La Paz ◽  
Neonatal Complications ◽  
Diabetes Gestational ◽  
Twin Pregnancies

Twin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Today, the repercussions of IUFD may have on the surviving fetus, mother and bichorionic pregnancy are not known. Our objective was to study materno-obstetrical, fetal, and immediate delivery neonatal complications in bichorionic twin gestations with single IUFD compared to those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD after 14 weeks (cases; IUFD group) and 51 with both fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid; Spain). The data were collected from obstetrical records. No significant differences were found in the rates of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity between IUFD and non-IUFD groups. Statistical differences were found for the incidence of intrauterine growth restriction in the surviving fetus compared to first fetus of pregnancy with both fetuses alive (22.7% versus 2.0%, respectively; p-value = 0.012). There were no differences compared to second fetus (11.8%; p-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6%, non-IUFD = 64.7%; p-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is a rare complication that should be closely monitored. It is essential that these gestations be attended by a clinical multidisciplinary team.

The Relationships of Umbilical Venous Volume Flow, Birthweight and Placental Share in Monochorionic Twin Pregnancies With and Without Selective Intrauterine Growth Restriction

2011 ◽  
Vol 14 (2) ◽  
pp. 192-197 ◽  
Author(s):  
Yao-lung Chang ◽  
Shuenn-dyh Chang ◽  
An-shine Chao ◽  
Chao-nin Wang ◽  
Tzu-hao Wang ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Volume Flow ◽  
Growth Restriction ◽  
Intrauterine Fetal Death ◽  
Maximal Velocity ◽  
Monochorionic Twins ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
Venous Volume ◽  
Twin Pregnancies

This study was conducted to investigate the relationship among umbilical venous volume flow, birthweight and placental share in monochorionic twins with or without selective growth restriction. Having excluded cases complicated with twin-to-twin transfusion syndrome and one co-twin suffering intrauterine fetal death, a total of 51 monochorionic twin pregnancies were divided into two groups as with (group 1) and without (group 2) selective intrauterine growth restriction. Umbilical venous volume flow was calculated by multiplying the umbilical vein cross-sectional area by half of the maximal velocity around mid-trimester. The placentas were cut along the vascular equator into two individual placental masses. The discordance of birthweight was calculated as [(birthweight of larger twin—birthweight of smaller twin)/birthweight of larger twin 100%]. The discordances of umbilical venous volume flow and placental share were calculated in a similar fashion. The median umbilical venous volume flow discordances (68.4% and 15.3% in groups 1 and 2 monochorionic twins, respectively) were similar and correlated well with the placental share discordances (66.6% and 18.5% in groups 1 and 2 monochorionic twins, respectively) but not with the birthweight discordance (28.6% and 6.4% in groups 1 and 2 monochorionic twins, respectively) in both groups. We concluded that the umbilical venous volume flow discordance reflects the placental share discordance rather than the birthweight discordance in monochorionic 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 Prospective Risk of Intrauterine Fetal Death in Monoamniotic Twin Pregnancies

2012 ◽  
Vol 15 (4) ◽  
pp. 522-526 ◽  
Author(s):  
Mamoru Morikawa ◽  
Takashi Yamada ◽  
Takahiro Yamada ◽  
Shoji Sato ◽  
Hisanori Minakami
Keyword(s):  
Fetal Death ◽  
Intrauterine Fetal Death ◽  
Short Term ◽  
Birth Registry ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Registry System ◽  
Gestational Week ◽  
Prospective Risk ◽  
Twin Pregnancies

This study was conducted to review the overall short-term outcome of monoamniotic twins in Japan and to determine the prospective risk of fetal death so as to adequately counsel parents with monoamniotic twins. Study subjects were 101 women with monoamniotic twins who were registered with the Japan Society of Obstetrics and Gynecology Successive Pregnancy Birth Registry System and who had given birth at ≥22 weeks of gestation during 2002–2009. The gestational week at delivery (mean ± SD) was 31.8 ± 3.7. Fourteen women experienced intrauterine fetal death (IUFD). Short-term outcomes of co-twins born to the 14 women included 8 IUFDs, one early neonatal death within 7 days of life (END), and 5 survivors. Four other women experienced 5 ENDs. Thus, 13.9% (28/202) of infants died perinatally (22 IUFDs and 6 ENDs), 13.9% (14/101) of women experienced IUFD, and 82.2% (83/101) of women experienced neither IUFD nor END. Structural anomalies and twin-to-twin transfusion syndrome explained 17.9% (five infants) and 10.7% (three infants) of the 28 perinatal deaths, respectively. The prospective risk of IUFD was 13.9% (14/101) for women who reached gestational week 22−0/7, gradually decreasing thereafter but remaining at between 4.5% and 8.0% between gestational week 30−0/7 and 36−0/7.

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