scholarly journals Editorial–Special Issue

2016 ◽  
Vol 19 (3) ◽  
pp. 167-167 ◽  
Author(s):  
Mark P. Umstad ◽  
Ricardo Palma-Dias ◽  
Asma Khalil
Keyword(s):  
Well Being ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Special Issue ◽  
Monochorionic Twin ◽  
Editorial Special Issue ◽  
Twin Pregnancies

Monochorionic twin pregnancies are subject to unique complications that can threaten the life and well-being of both fetuses, resulting in a disproportionate increase in perinatal morbidity and mortality.

scholarly journals A study on maternal and perinatal outcome in premature rupture of membranes at term

2017 ◽  
Vol 6 (12) ◽  
pp. 5368 ◽  
Author(s):  
Sailaja Surayapalem ◽  
Vijayalakshmi Cooly ◽  
Bhuvaneswari Salicheemala
Keyword(s):  
Gestational Age ◽  
Maternal Morbidity ◽  
Birth Asphyxia ◽  
Neonatal Morbidity ◽  
Well Being ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Perinatal Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture

Background: Premature rupture of membranes is defined as rupture of foetal membranes before the onset of labour. Management of cases of PROM still remains as one of the most difficult and controversial problems in obstetrics. PROM can cause maternal complications like chorioamnionitis, increased operative procedures, puerperal sepsis and neonatal morbidity and mortality. The present study is undertaken to study the labour outcome, maternal morbidity and perinatal morbidity and mortality in term PROM.Methods: 200 Cases of spontaneous rupture of membranes with gestational age >37 weeks with confirmed PROM by a speculum examination were selected. A detailed history was taken, and gestational age confirmed, general, systemic and obstetric examinations were done. Parameters of maternal and foetal well being were recorded. All study groups received prophylactic antibiotics. Single pelvic examination done, and maternal vitals recorded fourth hourly. All the data was analyzed and statistical significance was calculated using Chi-square test.Results: PROM was common in age group of 20-24 years (35%) with mean age of 22.6 years and SD of 2.8 years, and common in primigravida. Majority of women were admitted within six hours of PROM (41.5%) and Mean duration of induction to delivery interval was 12.9 hours. The mean duration between PROM to delivery was 20.2 hours which was statistically significant. Cesarean sections were more among primigravidas. Failure to progress was the common indication. Maternal morbidity was significant (17.5%). No maternal mortality in the study. Perinatal mortality was 1.5%. Birth asphyxia was the commonest cause. Perinatal morbidity was seen in 26%. Escherichia coli was common organism found in cervical swab culture.Conclusions: In present study, majority was primigravidas and the most common age group was 20-24 years belonging to low socioeconomic status. Maternal morbidity and neonatal morbidity was associated with increased duration of PROM to delivery and infection of the female genital tract with pathogens. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy.

scholarly journals OP17.01: Perinatal morbidity after umbilical cord occlusion in monochorionic twin pregnancies

2019 ◽  
Vol 54 (S1) ◽  
pp. 141-141
Author(s):  
E. Antolin ◽  
B. Herrero ◽  
R. Rodriguez ◽  
F. Lopez ◽  
M. De la Calle ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Perinatal Morbidity ◽  
Monochorionic Twin ◽  
Twin Pregnancies

scholarly journals Twin-Twin transfusion syndrome: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1282
Author(s):  
Romi Bansal ◽  
Jasleen Kaur ◽  
Priyanka .
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
The Other ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Monochorionic Twin

Twin to twin transfusion syndrome is a rare but serious complication of monochorionic twin pregnancy. It is characterized by the development of abnormal placental vascular communication from one foetus (donor) to the other foetus (recipient). If left untreated it led to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosing and treatment. Authors report a case of twin to twin transfusion syndrome in 24 years old primigravida with gestational age of 18 weeks 5 days diagnosed on ultrasound.

scholarly journals Perinatal morbidity and mortality in dichorionic twin pregnancies according to the mode of conception

2021 ◽  
Author(s):  
Thomas SCHMITZ ◽  
Diane KORB ◽  
Mathilde VICTORIA ◽  
Aurélien SECO ◽  
Pietro SANTULLI ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Twin Pregnancies

Perinatal morbidity and mortality in twin pregnancies

1991 ◽  
Vol 36 (1) ◽  
pp. 17-22 ◽  
Author(s):  
A.J. Herruzo ◽  
L. Martínez ◽  
E. Biel ◽  
R. Robles ◽  
M.A. Rosales ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Twin Pregnancies

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

2021 ◽  
Vol 15 (1) ◽  
pp. 51-60
Author(s):  
K. V. Kostyukov ◽  
K. A. Gladkova ◽  
O. V. Ionov
Keyword(s):  
Body Weight ◽  
Fetal Growth ◽  
Twin Pregnancy ◽  
Reproductive Technologies ◽  
Morbidity And Mortality ◽  
Monochorionic Twins ◽  
Monochorionic Twin ◽  
Antenatal Period ◽  
Increased Risk ◽  
Twin Pregnancies

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 monochorionic twin pregnancies with symmetric and discordant fetal growth on perinatal outcomes, as well as morbidity and mortality.Materials and Methods. There was conducted a retrospective study of 485 pregnant women and paired 959 newborns. Depending on the type of chorionicity, subjects were stratified into two study groups being further subdivided into based on describing fetal weight discordance. The antenatal period and the neonatal outcome of newborns in groups and subgroups were compared.Results. We analyzed 308 dichorionic and 177 monochorionic twin pregnancies. It was found that neonate discordant growth was observed in 5.4 % and 13.4 % (p < 0.001), respectively. The incidence of assisted reproductive technologies was higher in dichorionic than in monochorionic twins comprising 66.5 and 40.7 % (р < 0.001). Antenatal mortality in monochorionic vs. dichorionic twins was by 8-fold higher. The preterm birth rate in monochorionic vs. dichorionic twins was 74.6 and 62.7% (p = 0.009), respectively. Neonate body weight in monochorionic vs. dichorionic twins was lowered comprising 1991 and 2430 gr. (р < 0.001), respectively. Low Apgar scores were more common for monochorionic twins with discordant body weight. The rate of early neonatal mortality in monochorionic vs. dichorionic twins was 4.4 % vs. 1.5 % (p = 0.009), whereas in dichorionic vs. monochorionic twins with weight discordance it was up to 5.8 and 10.5% (р < 0.001), respectively.Conclusion. Monochorionic twin pregnancy complicated with growth discordance is associated with a higher risk of adverse antenatal period as well as neonatal morbidity and mortality compared to symmetric DCDA twins. Chorionicity and growth discordancy represent important predictors for outcome of twin pregnancy.

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