Transient amniotic fluid leakage after fetoscopic laser photocoagulation for twin-twin transfusion syndrome

Autor: Nobuaki Mitsuda, Shiyo Ota, Hiroshi Kawamura, Ryo Yamamoto, Takeshi Kanagawa, Shusaku Hayashi, Aki Mabuchi, Keisuke Ishii
Rok vydání: 2017
Předmět:
Zdroj: Journal of Obstetrics and Gynaecology Research. 44:223-227
ISSN: 1341-8076
DOI: 10.1111/jog.13494
Popis: Aim Iatrogenic premature rupture of membrane (PROM) is one of the major complications related to fetoscopic laser photocoagulation (FLP) for twin-twin transfusion syndrome (TTTS). However, amniotic fluid leakage (AFL) sometimes spontaneously disappears. This study evaluated the incidence and clinical characteristics of transient AFL after FLP. Methods We retrospectively reviewed pregnancies that underwent FLP for TTTS at a single center. Patients with apparent AFL within 2 weeks after FLP were divided into two groups: transient AFL, defined by the disappearance of fluid leakage within a week; and PROM, if AFL persisted continuously for more than a week or premature birth occurred, including miscarriage, within a week of the first symptom of AFL. Results Among 201 monochorionic twin pregnancies that underwent FLP during the study period, nine patients (4.5%) were diagnosed with AFL within a week after FLP. Four patients (2.0%) were classified as transient AFL and five as PROM. Median gestational age at FLP was not significantly different between the groups; operative time in the PROM group was significantly longer (P = 0.01). The surgery to delivery interval and median gestational age at delivery were greater in the transient AFL group (87.8 vs 17.6 days, P = 0.01; 32.5 vs 23.6 weeks, P = 0.01, respectively). Conclusions The incidence of transient AFL after FLP was 2%. Perinatal outcomes of transient AFL might be better than that of PROM.
Databáze: OpenAIRE
Externí odkaz: