Maternal and neonatal outcome of twin pregnancies complicated by single fetal death
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R. Axt
Abstract
Objective: To study the maternal and neonatal outcome of twin pregnancies complicated by the intrauterine death of one fetus after 20 weeks of gestation.
Design: Retrospective, observational study of 7 twin pregnancies out of 185 twin pregnancies with the diagnosis of a single intrauterine death over a 5-years period in a university hospital.
Results: The incidence of single fetal death in twin gestation after 20 weeks was 3.8% in the study population with a high incidence of intrauterine growth retardation (IUGR) of the remaining fetus and preeclampsia in the further course of pregnancy. The incidence of preterm delivery was 71% with a mean gestational age of 33.0 ± 1.0 weeks. The median interval from diagnosis of single fetal death to delivery was 10.2 ± 4.1 days (range 1–28 days). 5 of 7 (71 %) cases were delivered by cesarean section for standard obstetrical reasons. Neither perinatal nor neonatal death of the remaining twin were observed. Two cases of neurologic injury were diagnosed after delivery by ultrasound and MRI. No maternal coagulopathy related to single fetal death occured.
Conclusion: Expectant management of single fetal death in twin pregnancies might be advisible under close surveillance of both, mother and the surviving fetus.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
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Artikel in diesem Heft
- The study of morphology and circulation of early embryo by three-dimensional ultrasound and power Doppler
- The merit of routine cord blood pH measurement at birth
- The influence of maternal erythrocyte deformability on fetal growth, gestational age and birthweight
- Reproductive choice in individuals HIV-1 infected in South Eastern Italy
- The sensitivity of the trivariate analysis using maternal serum alpha-feto protein, human chorionic gonadotrophin and maternal age in screening for fetal aneuploidy in mothers above the age of 35
- Neonatal and pediatric outcome of infants born to mothers with Antiphospholipid Syndrome
- Changes in cervical resistance and collagen fluorescence during gestation in rats
- The study of maternal and fetal plasma catecholamines levels during pregnancy and delivery
- Is adolescent pregnancy associated with adverse perinatal outcome?
- Physical exercise during pregnancy - physiological considerations and recommendations
- Endothelin-1 levels in infants with pulmonary hypertension receiving extracorporeal membrane oxygenation
- Maternal and neonatal outcome of twin pregnancies complicated by single fetal death
- A fatal case of congenital disseminated langerhans cell histiocytosis
- Treatment of severe postpartum hemorrhage by rectally administered gemeprost pessaries
