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dc.contributor.authorFarah, Nadine
dc.contributor.authorHogan, Jennifer
dc.contributor.authorJohnson, Sucheta
dc.contributor.authorStuart, Bernard
dc.contributor.authorDaly, Sean
dc.date.accessioned2012-05-11T11:51:13Z
dc.date.available2012-05-11T11:51:13Z
dc.date.issued2012-03
dc.identifier.citationProspective risk of fetal death in uncomplicated monochorionic twins. 2012, 91 (3):382-5 Acta Obstet Gynecol Scanden_GB
dc.identifier.issn1600-0412
dc.identifier.pmid21950601
dc.identifier.doi10.1111/j.1600-0412.2011.01288.x
dc.identifier.urihttp://hdl.handle.net/10147/223202
dc.description.abstractA 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.
dc.language.isoenen
dc.rightsArchived with thanks to Acta obstetricia et gynecologica Scandinavicaen_GB
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshCause of Death
dc.subject.meshChorion
dc.subject.meshCohort Studies
dc.subject.meshFemale
dc.subject.meshFetal Death
dc.subject.meshFetofetal Transfusion
dc.subject.meshGestational Age
dc.subject.meshHumans
dc.subject.meshMiddle Aged
dc.subject.meshPregnancy
dc.subject.meshPregnancy, Twin
dc.subject.meshRetrospective Studies
dc.subject.meshRisk
dc.subject.meshStillbirth
dc.subject.meshTwins, Monozygotic
dc.subject.meshYoung Adult
dc.titleProspective risk of fetal death in uncomplicated monochorionic twins.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, Coombe Women and Infants University Hospital, Dublin. nadine.farah@ucd.ieen_GB
dc.identifier.journalActa obstetricia et gynecologica Scandinavicaen_GB
dc.description.provinceLeinsteren
html.description.abstractA 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.


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