scholarly journals P19.10: Umbilical vein volume flow at 11-14 weeks in monochorionic twin pairs with subsequent twin-twin transfusion or selective intrauterine growth restriction

2014 ◽  
Vol 44 (S1) ◽  
pp. 299-300
Author(s):  
M.A. Zoppi ◽  
A. Luculano ◽  
A. Piras ◽  
M. Arras ◽  
G. Monni
2011 ◽  
Vol 14 (2) ◽  
pp. 192-197 ◽  
Author(s):  
Yao-lung Chang ◽  
Shuenn-dyh Chang ◽  
An-shine Chao ◽  
Chao-nin Wang ◽  
Tzu-hao Wang ◽  
...  

This study was conducted to investigate the relationship among umbilical venous volume flow, birthweight and placental share in monochorionic twins with or without selective growth restriction. Having excluded cases complicated with twin-to-twin transfusion syndrome and one co-twin suffering intrauterine fetal death, a total of 51 monochorionic twin pregnancies were divided into two groups as with (group 1) and without (group 2) selective intrauterine growth restriction. Umbilical venous volume flow was calculated by multiplying the umbilical vein cross-sectional area by half of the maximal velocity around mid-trimester. The placentas were cut along the vascular equator into two individual placental masses. The discordance of birthweight was calculated as [(birthweight of larger twin—birthweight of smaller twin)/birthweight of larger twin 100%]. The discordances of umbilical venous volume flow and placental share were calculated in a similar fashion. The median umbilical venous volume flow discordances (68.4% and 15.3% in groups 1 and 2 monochorionic twins, respectively) were similar and correlated well with the placental share discordances (66.6% and 18.5% in groups 1 and 2 monochorionic twins, respectively) but not with the birthweight discordance (28.6% and 6.4% in groups 1 and 2 monochorionic twins, respectively) in both groups. We concluded that the umbilical venous volume flow discordance reflects the placental share discordance rather than the birthweight discordance in monochorionic twin pregnancies.


2021 ◽  
Vol 57 (1) ◽  
pp. 126-133
Author(s):  
S. Shinar ◽  
W. Xing ◽  
V. Pruthi ◽  
C. Jianping ◽  
F. Slaghekke ◽  
...  

2014 ◽  
Vol 35 (1) ◽  
pp. 9-12 ◽  
Author(s):  
O. Karadeniz ◽  
I. Mendilcioglu ◽  
S. Ozdem ◽  
M. Ozekinci ◽  
C. Y. Sanhal ◽  
...  

2019 ◽  
Author(s):  
Jie Chen ◽  
Yue Lian Yang

Abstract Background Twins pregnancy can cause a lot of disease, especially monochorionic twin pregnancies, the prenatal infant will have many diseases and have high mortality rate. According to analysis and compare of the twin pregnancy, especially pregnant woman and puerpera’s situation and complication and baby’s situation; we hope we can find the reason which causes the fetus growth restrain of monochorionic twin pregnancies. So we can provide some reference for the prenatal health care, complication prevention and prenatal outcome. Methods We divided 489 cases of twin pregnancies into two groups: monochorionic twin and dichorionic twin and compared the clinical features of them. At last, we used the logistic regression analysis method to analyze the risk factors of selective intrauterine growth restriction(sIUGR). Results The incidences of premature rupture of membranes and sIUGR were significant higher in monochorionic twin and twin-twin transfusion syndrome (TTTS) only exists in monochorionic twin. The weight of the newborn babies(both big and small babies)were significant lower in Monochorionic twin. The neonatal transfer rate was significant higher in monochorionic twin. Gestational weeks and weight of newborn babies are the high risk factors of sIUGR. Conclusions The type of chorion has a great influence to the pregnant period and the ending of maternal women. Monochorionic is a high risk factor of the sIUGR, which means that the main cause of sIUGR is from placenta, so it is a kind of “placental origin disease”.


2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
S. B. de Haseth ◽  
M. C. Haak ◽  
A. A. W. Roest ◽  
M. E. B. Rijlaarsdam ◽  
D. Oepkes ◽  
...  

Monochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruction (RVOTO) in recipients with TTTS is known to be higher than in the general population. There is limited data on the risk of RVOTO in monochorionic twins with sIUGR. We report a case of RVOTO in the larger twin in a monochorionic twin pregnancy with sIUGR, treated successfully with balloon dilatation after birth.


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