Ultrasound Assessment prior to Laser Photocoagulation for Twin-Twin Transfusion Syndrome for Predicting Intrauterine Fetal Demise after Surgery in Japanese Patients

2006 ◽  
Vol 22 (2) ◽  
pp. 149-154 ◽  
Author(s):  
Keisuke Ishii ◽  
Satoshi Hayashi ◽  
Masahiko Nakata ◽  
Takeshi Murakoshi ◽  
Haruhiko Sago ◽  
...  
Keyword(s):  
Laser Photocoagulation ◽  
Japanese Patients ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise ◽  
Ultrasound Assessment

scholarly journals Neonatal Outcomes Among Survivors of Twin-twin Transfusion Syndrome After Single Fetal Demise

2020 ◽  
Author(s):  
Ya-Lan Lin ◽  
Yi-Li Hung ◽  
Chung-Min Shen ◽  
Wu-Shiun Hsieh
Keyword(s):  
Neonatal Intensive Care ◽  
Laser Photocoagulation ◽  
Medical Center ◽  
Kidney Injury ◽  
Neonatal Outcomes ◽  
High Morbidity ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise ◽  
Intracranial Lesions ◽  
Twin Delivery

Abstract Twin-twin transfusion syndrome (TTTS) is due to unbalanced inter-twin blood flow. We aimed to evaluate neonatal outcomes among surviving co-twins of TTTS without fetal laser photocoagulation after single-twin intrauterine fetal demise (sIUFD). All patients admitted between January 2014 and December 2017 to the neonatal intensive care unit of a medical center were recruited. Moreover, a comprehensive literature review of PubMed from 1993 to 2020 was performed. Medical records of 124 patients were retrieved, including 119 from published literature and five from our institution. Seventy-three (58.8%) patients were born prematurely. In addition, twenty-four (19.3 %) patients presented with anemia at birth, and seventeen (13.7%), four (3.2%), and four (3.2%) neonates had intracranial lesions, acute kidney injury, and gastrointestinal (GI) tract dysmotility, respectively. The overall survival rate was 69.4 %. Among our cases, we found that the hemoglobin level at birth was positively correlated with the duration between co-twin intrauterine fetal demise and the delivery time of the surviving co-twins (rs=0.9, p=0.037). Conclusions: High morbidity and mortality rates were observed among co-twins of TTTS after sIUFD without laser photocoagulation. The shorter duration between diagnosis of sIUFD and surviving twin delivery resulted in more severe anemia.

Florid Bacillus cereus Infection of the Placenta Associated With Intrauterine Fetal Demise

2021 ◽  
pp. 109352662199902
Author(s):  
Stephanie Shea ◽  
Alberto Paniz-Mondolfi ◽  
Emilia Sordillo ◽  
Michael Nowak ◽  
Fumiko Dekio
Keyword(s):  
Bacillus Cereus ◽  
Placental Tissue ◽  
Maternal Blood ◽  
Gastrointestinal Infections ◽  
Gram Positive ◽  
Fetal Demise ◽  
Placental Infection ◽  
Intrauterine Fetal Demise ◽  
Acute Necrotizing ◽  
Poor Outcomes

Bacillus cereus is a gram-positive, rod-shaped bacterium that is commonly implicated in foodborne illness but has also become increasingly recognized as a source of serious non-gastrointestinal infections, including sepsis, meningitis, and pneumonia. Non-gastrointestinal B. cereus infections have been identified in children, especially in neonates; however, there are no previously described cases of fetal demise associated with B. cereus placental infection. We present a case of acute chorioamnionitis-related intrauterine fetal demise of twin A at 17 weeks gestation, noted two days after selective termination of twin B. Histological examination revealed numerous gram-positive bacilli in placental tissue, as well as fetal vasculature, in the setting of severe acute necrotizing chorioamnionitis and subchorionitis, intervillous abscesses, acute villitis, and peripheral acute funisitis. Cultures of maternal blood and placental tissue both yielded growth of B. cereus. This case underscores the importance of B. cereus as a human pathogen, and specifically demonstrates its potential as an agent of severe intraamniotic and placental infection with poor outcomes for the fetus.

Three Cases with Cavitary Lesions in a Twin Gestation Complicated by a Single Intrauterine Fetal Demise

1993 ◽  
Vol 13 (4) ◽  
pp. 269-275
Author(s):  
Kimiko Tamagawa ◽  
Ryoko Ishibashi ◽  
Yoshihiko Mizuno ◽  
Kazuhiko Komiya ◽  
Masaya Oda ◽  
...  
Keyword(s):  
Fetal Demise ◽  
Intrauterine Fetal Demise

Intrauterine Fetal Demise, Male Fetuses (Monozygotic Twins)

2006 ◽  
Vol 130 (6) ◽  
pp. e90-e92
Author(s):  
Jane Ellaine Tongson-Ignacio ◽  
Zahida Parveen ◽  
Karen Thompson ◽  
John M. Hardman
Keyword(s):  
Monozygotic Twins ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise

scholarly journals Investigating Mechanisms of Stillbirth in the Setting of Prenatal Substance Use

2018 ◽  
Vol 8 (4) ◽  
pp. 865-873
Author(s):  
Corrie B. Miller ◽  
Tricia Wright
Keyword(s):  
Substance Use ◽  
Adverse Pregnancy Outcome ◽  
Common Finding ◽  
In Utero Exposure ◽  
Toxic Substances ◽  
Fetal Demise ◽  
Search Terms ◽  
Intrauterine Fetal Demise ◽  
Adverse Pregnancy ◽  
Prenatal Substance Use

Introduction: Intrauterine fetal demise affects between 0.4-0.8% of pregnancies worldwide. This significant adverse pregnancy outcome continues to be poorly understood. In utero exposure to substances increases the risk of stillbirth to varying degrees according to the type of substance and degree of exposure. The aim of this qualitative narrative review is to investigate common biologic relationships between stillbirth and maternal substance use. Methods: A PubMed literature search was conducted to query the most commonly used substances and biologic mechanisms of stillbirth. Search terms included “stillbirth,” “intrauterine fetal demise,” “placenta,” “cocaine,” “tobacco,” “alcohol,” “methamphetamines,” “opioids/ opiates,” and “cannabis.” Results: There are very few studies identifying a direct link between substance use and stillbirth. Several studies demonstrate associations with placental lesions of insufficiency including poor invasion, vasoconstriction, and sequestration of toxic substances that inhibit nutrient transport. Restricted fetal growth is the most common finding in pregnancies complicated by all types of substance use. Discussion: More research is needed to understand the biologic mechanisms of stillbirth. Such knowledge will be foundational to understanding how to prevent and treat the adverse effects of substances during pregnancy.

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