scholarly journals OP21.07: Monochorionic twins with selective growth restriction: is the “Gratacós classification” justified?

2013 ◽  
Vol 42 (s1) ◽  
pp. 109-110
Author(s):  
C. Hofstaetter ◽  
L. Raio
Keyword(s):  
Selective Growth ◽  
Growth Restriction ◽  
Monochorionic Twins

scholarly journals Diferential dagnosis in twin-to-twin transfusion syndrome: methodology and clinical cases

2017 ◽  
Vol 66 (1) ◽  
pp. 72-76
Author(s):  
Ekaterina S Nekrasova
Keyword(s):  
Clinical Features ◽  
Selective Growth ◽  
Growth Restriction ◽  
Monochorionic Twins ◽  
Common Features ◽  
Clinical Cases

In monochorionic twins there exist some specific complications as twin-to-twin transfusion syndrome and selective growth restriction that could have some common features. Also in case of non-immune hydrops of one of the fetuses it could mimic the clinical features of severe twin-to-twin transfusion. In this article we describe three cases of monochorionic twins with different conditions and discuss the best way to differentiate between these diagnoses.

scholarly journals VP43.07: Prevalence of single umbilical artery in monochorionic twins with selective growth restriction

2020 ◽  
Vol 56 (S1) ◽  
pp. 245-246
Author(s):  
S. Amylidi‐Mohr ◽  
C. Hecht ◽  
B. Mosimann ◽  
J. Zdanowicz ◽  
D. Surbek ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Selective Growth ◽  
Growth Restriction ◽  
Single Umbilical Artery ◽  
Monochorionic Twins

DIAGNOSIS AND MANAGEMENT OF SELECTIVE FETAL GROWTH RESTRICTION IN MONOCHORIONIC TWINS

2009 ◽  
Vol 20 (4) ◽  
pp. 269-281 ◽  
Author(s):  
EDUARD GRATACÓS ◽  
ELISENDA EIXARCH ◽  
FATIMA CRISPI
Keyword(s):  
Fetal Growth ◽  
Common Sense ◽  
Fetal Growth Restriction ◽  
Growth Restriction ◽  
Fetal Weight ◽  
Abdominal Circumference ◽  
Monochorionic Twins ◽  
Normal Ranges ◽  
Estimated Fetal Weight ◽  
Simple Definition

Selective fetal growth restriction (sFGR) has been reported to occur in about 10–15% of monochorionic (MC) twins. The diagnosis of sFGR has been based on variable criteria including estimated fetal weight (EFW), abdominal circumference and/or the degree of fetal weight discordance. Recent studies tend to use a simple definition which includes the presence of an EFW less than the 10th percentile in the smaller twin. Some would argue that the intertwin fetal weight discordance should be included in the definition. Indeed this factor plays a major role in the complications presented by these cases. While the majority of cases with one fetus below the 10th percentile usually will also present with a large intertwin EFW discordance, the contrary is not always true. Thus, it is possible to find MC twins with remarkable intertwin EFW discordance but the EFW of both fetuses are still within normal ranges. Although it appears to be common sense that a large intertwin discrepancy might represent a higher risk for some of the complications described later in this review, there is no consistent evidence to support this notion. Therefore, due to its simplicity, a definition based on an EFW below 10th percentile in one twin is probably the most useful for clinical and research purposes.

Sign in / Sign up

Export Citation Format

Share Document