Fetal growth changes and prediction of selective fetal growth restriction following fetoscopic laser coagulation in twin-to-twin transfusion syndrome

Autor: So Yeon Kim, Hye-Sung Won, Mi-Young Lee, Jin Hoon Chung, Jin-Hee Park, You-Kyoung Kim, Hwang-Mi Lee
Jazyk: English<br />Korean
Rok vydání: 2023
Předmět:
Zdroj: Obstetrics & Gynecology Science, Vol 66, Iss 6, Pp 529-536 (2023)
Druh dokumentu: article
ISSN: 2287-8572
2287-8580
DOI: 10.5468/ogs.23108
Popis: Objective To investigate fetal growth changes and predictive factors for selective fetal growth restriction (sFGR) in patients with twin-to-twin transfusion syndrome (TTTS) after fetoscopic laser coagulation (FLC). Methods This retrospective study included twin-pregnant women with fetal TTTS who underwent FLC at our institution between 2011 and 2020. Twin pairs who survived at least 28 days after FLC and at least 28 days after birth were included. A paired t-test was used to compare the mean discordance between the estimated fetal weights at the FLC and the birth weights. The predictive factors for sFGR after FLC were evaluated using univariate and multivariate logistic regression analyses. Results A total of 119 eligible pairs of patients who underwent FLC were analyzed. The weight percentile at birth significantly decreased after FLC in the recipients (53.7±30.4 percentile vs. 43.7±28.0 percentile; P
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