Diagnostic Use of Cordocentesis in Twin Pregnancy
Autor: | Shingo Tanigawara, Shuichi Kosuge, Kunihiro Okamura, Jun Murotsuki, Akira Yajima |
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Rok vydání: | 1994 |
Předmět: |
Embryology
medicine.medical_specialty Percutaneous Umbilical Blood Sampling Twins Hematocrit Anastomosis Twin-to-twin transfusion syndrome Hemoglobins Pregnancy Prenatal Diagnosis medicine Humans Radiology Nuclear Medicine and imaging Twin Pregnancy Discordant Twin Fetus medicine.diagnostic_test Obstetrics business.industry Obstetrics and Gynecology Fetofetal Transfusion General Medicine Fetal Blood medicine.disease Pediatrics Perinatology and Child Health Female Hemoglobin Cordocentesis business |
Zdroj: | Fetal Diagnosis and Therapy. 9:385-390 |
ISSN: | 1421-9964 1015-3837 |
DOI: | 10.1159/000264070 |
Popis: | We performed percutaneous umbilical blood sampling, under ultrasound guidance, in both twins of 11 twin pregnancies in whom twin-to-twin transfusion syndrome was suspected. Chorionicity and the presence of placental vascular anastomoses were assessed postnatally. The hemoglobin concentration, hematocrit and other biochemical variables in fetal blood were evaluated in both twins. The mean hemoglobin difference between the large and small twins was 4.8 g/dl (range 1.8-8.1 g/dl) in 5 monochorionic discordant twin pairs, and 1.2 g/dl in a monochorionic twin pair without discordancy. Hemoglobin values did not differ between dichorionic twins. The mean hematocrit difference between monochorionic discordant twins was 18.3%. In dichorionic discordant twins, the inter-twin hematocrit difference was very small. Total protein and albumin were normal in all twins. |
Databáze: | OpenAIRE |
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