The value of umbilical artery Doppler velocimetry in the antenatal surveillance of uncomplicated monochorionic twin pregnancies

2008 ◽  
Vol 31 (6) ◽  
pp. 662-668 ◽  
Author(s):  
K. E. A. Hack ◽  
J. J. Kaandorp ◽  
J. B. Derks ◽  
S. G. Elias ◽  
L. Pistorius ◽  
...  
2011 ◽  
Vol 25 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Min Pan ◽  
Min Chen ◽  
Tak Yeung Leung ◽  
Daljit Singh Sahota ◽  
Yuen Ha Ting ◽  
...  

2014 ◽  
Vol 60 (6) ◽  
pp. 585-590 ◽  
Author(s):  
Rita de Cássia Alam Machado ◽  
Maria de Lourdes Brizot ◽  
Seizo Miyadahira ◽  
Rossana Pulcineli Vieira Francisco ◽  
Vera Lúcia Jornada Krebs ◽  
...  

Objective: to evaluate neonatal morbidity and mortality in monochorionic- -diamniotic (MCDA) twin pregnancies complicated by selective intrauterine growth restriction (sIUGR) and non-selective intrauterine growth resctriction (nsIUGR). Methods: neonatal morbidity parameters and mortality were analyzed in 34 twins with IUGR (< 10th percentile on twins’ growth charts): 18 with sIUGR and 16 with nsIUGR. The sIUGR group was made up of 18 pregnancies in which growth was restricted in only one fetus (n = 18). The nsIUGR group was composed of 8 pregnancies in which both fetuses presented restricted growth (n = 16). Cases of twin-to-twin transfusion syndrome and fetal malformation were not included in the study. Results: the MCDA twin pregnancies with sIUGR had a higher rate of orotracheal intubation (p = 0.001) and mechanical ventilation (p = 0.0006), as well as longer than average fasting time (p = 0.014) compared to those in which the fetuses had nsIUGR. A higher incidence was also observed of types II and III umbilical artery Doppler velocimetry patterns in the sIUGR cases (p = 0.002). There was no significant difference between the two groups as to mortality during pregnancy and the neonatal period (p = 0.09). Conclusion: in MCDA twin pregnancies, sIUGR presents more severe umbilical artery Doppler velocimetry abnormalities and worse morbidity than nsIUGR.


2011 ◽  
Vol 14 (5) ◽  
pp. 457-462 ◽  
Author(s):  
Boaz Weisz ◽  
Liat Hogen ◽  
Yoav Yinon ◽  
Liat Gindes ◽  
Alon Shrim ◽  
...  

Objective: To evaluate the perinatal outcome of MC twins with selective IUGR (sIUGR).Study design: A prospective study, which included three groups of MC twins: Group A, uncomplicated MC twin pregnancies (n = 91); group B, sIUGR with normal umbilical artery Doppler (n = 19); and group C, sIUGR with abnormal (absence or reversed EDV) umbilical artery Doppler (n = 18). The latter were routinely hospitalized in the high-risk ward under strict surveillance.Results: Neonatal outcome of fetuses complicated with sIUGR and normal Doppler was similar to controls. Neonates born to pregnancies complicated by sIUGR and abnormal Doppler had significantly increased incidence of CNS findings, RDS, NEC, sepsis, and neonatal death compared to controls. Adverse outcome in this group was independently associated only with gestational age at birth.Conclusion: The perinatal outcomes of MC twins complicated with sIUGR and normal Doppler are similar to uncomplicated MC pregnancies. MC twins with sIUGR and abnormal Doppler have reasonable outcomes, yet significantly more neonatal complications compared to non-complicated MC twins.


2012 ◽  
Vol 32 (13) ◽  
pp. 1263-1272 ◽  
Author(s):  
Arsenio Spinillo ◽  
Barbara Gardella ◽  
Silvia Bariselli ◽  
Alessandro Alfei ◽  
Enrico Silini ◽  
...  

2019 ◽  
Vol 220 (1) ◽  
pp. S92
Author(s):  
Hope Y. Yu ◽  
Phinnara Has ◽  
Valery Danilack ◽  
Erika F. Werner ◽  
Margaret Thorsen ◽  
...  

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