Single fetal demise in multiple pregnancy
| Autor: | A. A. Kuznetsov, A. N. Romanovsky, A. V. Shlykova, T. A. Kashtanova, V. V. Shman, I. V. Kyanksep, V. E. Movchan, N. E. Derzhavina, A. A. Savel’eva, F. A. Ovsyannikov, A. V. Mikhailov |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Fetus
medicine.medical_specialty Pregnancy 030219 obstetrics & reproductive medicine business.industry Twin reversed arterial perfusion Hemodynamics Anastomosis medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine Fetal intervention Cardiology Medicine 030212 general & internal medicine Monochorionic twins business Complication |
| Zdroj: | Translational Medicine. 6:31-38 |
| ISSN: | 2410-5155 2311-4495 |
| DOI: | 10.18705/2311-4495-2019-6-5- |
| Popis: | Single intrauterine fetal demise (sIUFD) in multiple pregnancy occurs with frequency from 3.7 up to 6.8 % and is associated with an risk of premature birth, death of cotwin and high morbidity and mortality rates in newborns. The time of sIUFD and type of twin gestation would determine perinatal outcomes. The rate of prenatal death of the co-twin is different and depend on the type of multiple pregnancy, accounting 4 % for dichorionic and 12 % in monochorionic pregnancies. However, the correlation between the type of chorionicity, delivery time and the frequency of preterm delivery is not clearly established. The risk of neurological complications in newborns after sIUFD fluctuate significantly in case of the type of chorionicity and could achieve 18 % in monochorionic twins and only 1 % in dichorionic twins. The paper was discussed the main reasons for sIUFD in multiple pregnancy, rather pathophysiological aspects of perinatal morbidity and mortality for cotwin was also discussed. The management of complications, methods of their correction, optimal methods and time of delivery in case of sIUDF in multiple pregnancies was presented. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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