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    Prospective risk of fetal death in uncomplicated monochorionic twins.

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    Authors
    Farah, Nadine
    Hogan, Jennifer
    Johnson, Sucheta
    Stuart, Bernard
    Daly, Sean
    Affiliation
    Department of Obstetrics and Gynaecology, Coombe Women and Infants University Hospital, Dublin. nadine.farah@ucd.ie
    Issue Date
    2012-03
    MeSH
    Adolescent
    Adult
    Cause of Death
    Chorion
    Cohort Studies
    Female
    Fetal Death
    Fetofetal Transfusion
    Gestational Age
    Humans
    Middle Aged
    Pregnancy
    Pregnancy, Twin
    Retrospective Studies
    Risk
    Stillbirth
    Twins, Monozygotic
    Young Adult
    Show allShow less
    
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    Citation
    Prospective risk of fetal death in uncomplicated monochorionic twins. 2012, 91 (3):382-5 Acta Obstet Gynecol Scand
    Journal
    Acta obstetricia et gynecologica Scandinavica
    URI
    http://hdl.handle.net/10147/223202
    DOI
    10.1111/j.1600-0412.2011.01288.x
    PubMed ID
    21950601
    Abstract
    A retrospective cohort study was carried out in a university teaching hospital to determine the prospective risk of unexpected fetal death in uncomplicated monochorionic diamniotic (MCDA) twin pregnancies after viability. All MCDA twins delivered at or after 24 weeks' gestation from July 1999 to July 2007 were included. Pregnancies with twin-twin transfusion syndrome, growth restriction, structural abnormalities, or twin reversed arterial perfusion sequence were excluded. Of the 144 MCDA twin pregnancies included in our analysis, the risk of intrauterine death was 4.9%. The prospective risk of unexpected intrauterine death was 1 in 43 after 32 weeks' gestation and 1 in 37 after 34 weeks' gestation. Our results demonstrate that despite close surveillance, the unexpected intrauterine death rate in uncomplicated MCDA twin pregnancies is high. This rate seems to increase after 34 weeks' gestation, suggesting that a policy of elective preterm delivery warrants evaluation.
    Item Type
    Article
    Language
    en
    ISSN
    1600-0412
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1600-0412.2011.01288.x
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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