Prospective risk of fetal death in uncomplicated monochorionic twins.

2.50
Hdl Handle:
http://hdl.handle.net/10147/223202
Title:
Prospective risk of fetal death in uncomplicated monochorionic twins.
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
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
Issue Date:
Mar-2012
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
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
ISSN:
1600-0412

Full metadata record

DC FieldValue Language
dc.contributor.authorFarah, Nadineen_GB
dc.contributor.authorHogan, Jenniferen_GB
dc.contributor.authorJohnson, Suchetaen_GB
dc.contributor.authorStuart, Bernarden_GB
dc.contributor.authorDaly, Seanen_GB
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.en_GB
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

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