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Unequal but monozygous: a history of twin-twin transfusion syndrome
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Michael Obladen
Published/Copyright:
February 16, 2010
Abstract
Twin-twin transfusion is the major cause of mortality and morbidity in monochorionic twins. Its pathogenesis has been gradually elucidated over the last three centuries. Among obstetricians, there was a long-lasting controversy on the existence of placental anastomoses and whether or not to tie the placental end of the firstborn infant's cord. However, a twin pregnancy practically never could be excluded. Stalpart van der Wiel described a twin-twin vessel connection in 1687. Studies on interfetal anastomoses using injection of placental vessels were published by Smellie in 1752, Osiander in 1781, and Brachet in 1821. Different types of anastomoses, and their associated fetal disorders were classified by Schatz in a series of papers at the end of the 19th century. With the advent of ultrasound and laser techniques, prenatal diagnosis and treatment became available in the last decade of the 20th century.
Keywords: History; oligohydramnion; placental anastomoses; polyhydramnion; stuck twin; twin-twin transfusion syndrome
Received: 2009-11-13
Accepted: 2009-12-7
Published Online: 2010-02-16
Published Online: 2010-02-15
Published in Print: 2010-03-01
©2010 by Walter de Gruyter Berlin New York
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Keywords for this article
History;
oligohydramnion;
placental anastomoses;
polyhydramnion;
stuck twin;
twin-twin transfusion syndrome
Articles in the same Issue
- Expert panel recommendation
- A template for defining the perinatal care of monochorionic twins: the Istanbul international ad hoc committee
- Recommendations and guidelines for perinatal practice
- Guidelines for the management of postterm pregnancy
- Review article
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- Metabolic parameters and perinatal outcomes of gestational diabetes mellitus in women with polycystic ovary syndrome
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