Multiple Pregnancy Vanishing Twin Syndrome

The late neurologist and author, Oliver Sacks, published an insightful 1986 review of Marjorie Wallace's book, The Silent Twins, in the New York Times. Taking exception to his assertion about Sir Francis Galton, I wrote a letter to the Times’ editor. The letter was unpublished, but it brought a wonderful response from Sacks himself that is reproduced and examined. Next, brief reviews of twin research concerning the vanishing twin syndrome (VTS), discordant sex in a monozygotic (MZ) twin pair, and multiple pregnancy outcomes from assisted reproductive technology (ART) are presented. This section is followed by popular coverage of superfetated twins, smoking-discordant co-twins, twins in fashion, Yale University twin hockey players, and a visiting professor who was a conjoined twin.

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Twin pregnancy a complicating journey for both mothers and babies: elaborate review

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20201196 ◽

2020 ◽

Vol 9 (4) ◽

pp. 674

Author(s):

Pallavi Sitaram Shelke ◽

Pradnya Nilesh Jagtap

Keyword(s):

Twin Pregnancy ◽

Multiple Pregnancy ◽

Reproductive Technology ◽

Identical Twins ◽

Safe Abortion ◽

Abortion Care ◽

Vanishing Twin Syndrome ◽

Twin Pregnancies ◽

The U.S ◽

In Pregnancy

Pregnancy, also known as gestation, is the time during which one or more offspring develops inside a woman. A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy can occur by sexual intercourse or assisted reproductive technology. A pregnancy may end in a live birth, abortion, or miscarriage, though access to safe abortion care varies globally. Research shows that 10 percent to 15 percent of all singleton births may have started off as twins; often one is lost early in pregnancy in a phenomenon known as "vanishing twin syndrome." Multiple pregnancy occurs when two or more ova are fertilized to form dizygotic (non-identical) twins or a single fertilised egg divides to form monozygotic (identical) twins. In the U.S, about three in every 100 pregnant women give birth to twins or triplets, according to the Mayo Clinic in Rochester, Minn. And by many accounts, twin pregnancies are on the rise. This review provides a blessful information to understand what happening when expecting twins and also help to cope with pregnancy related complications and give twins the best start in life.

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Lesioni cutanee stellate e simmetriche in un gemello “rimasto solo”

Medico e Bambino ◽

10.53126/meb403783 ◽

2021 ◽

Vol 40 (6) ◽

pp. 383-385

Author(s):

Claudia Sciarrotta ◽

Gregorio Serra ◽

Mandy Schierz ◽

Giovanni Corsello

Keyword(s):

Twin Pregnancy ◽

Assisted Reproductive Technologies ◽

Multiple Pregnancy ◽

Reproductive Technologies ◽

Intrauterine Death ◽

Second Trimester ◽

Aplasia Cutis Congenita ◽

Multiple Gestations ◽

Vanishing Twin Syndrome ◽

Twin Pregnancies

The incidence of multiple pregnancy has increased, particularly because of the advances in assisted reproductive technologies. Multiple gestations are high risk pregnancies, especially the monochorionic ones. Two/thirds of initially twin pregnancies result in singles at birth, a condition defined as vanishing twin syndrome. The intrauterine death of one of the twins can cause direct fetal damage to the surviving one on several levels. The paper describes the case of a child born from twin pregnancy that was interrupted for one of the co-twins at early second trimester of gestation who presented with aplasia cutis congenita.

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Lesioni cutanee stellate e simmetriche in un gemello “rimasto solo”

Medico e Bambino ◽

10.53126/meb40383 ◽

2021 ◽

Vol 40 (7) ◽

pp. 383-385

Author(s):

Claudia Sciarotta ◽

Gregorio Serra ◽

mandy Schierz ◽

Giovanni Corsello

Keyword(s):

Twin Pregnancy ◽

Assisted Reproductive Technologies ◽

Multiple Pregnancy ◽

Reproductive Technologies ◽

Intrauterine Death ◽

Second Trimester ◽

Aplasia Cutis Congenita ◽

Multiple Gestations ◽

Vanishing Twin Syndrome ◽

Twin Pregnancies

The incidence of multiple pregnancy has increased, particularly because of the advances in assisted reproductive technologies. Multiple gestations are high risk pregnancies, especially the monochorionic ones. Two/thirds of initially twin pregnancies result in singles at birth, a condition defined as vanishing twin syndrome. The intrauterine death of one of the twins can cause direct fetal damage to the surviving one on several levels. The paper describes the case of a child born from twin pregnancy that was interrupted for one of the co-twins at early second trimester of gestation who presented with aplasia cutis congenita.

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Multiple pregnancy after IVF: A retrospective study

PsycEXTRA Dataset ◽

10.1037/e536912011-128 ◽

1995 ◽

Author(s):

R. Berkhout ◽

F. J. Snoek ◽

R. Schats

Keyword(s):

Retrospective Study ◽

Multiple Pregnancy

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Repeat abortion: Personal, interpersonal, and situational correlates of multiple pregnancy termination

PsycEXTRA Dataset ◽

10.1037/e633912013-669 ◽

2004 ◽

Author(s):

Paul Shuper ◽

William Fisher ◽

Sony Singh ◽

Jennifer Gunter ◽

Mark Carey

Keyword(s):

Pregnancy Termination ◽

Multiple Pregnancy

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The role of inflammatory cytokines in the pathogenesis of premature labor in multiple pregnancy as a result of ART

HEALTH OF WOMAN ◽

10.15574/hw.2016.111.73 ◽

2016 ◽

pp. 73-76

Author(s):

B.M. Ventskivskiy ◽

◽

I.V. Poladych ◽

S.O. Avramenko ◽

◽

...

Keyword(s):

Assisted Reproductive Technology ◽

Inflammatory Cytokines ◽

Proinflammatory Cytokines ◽

Local Level ◽

Multiple Pregnancy ◽

Reproductive Technology ◽

System Level ◽

Premature Labor ◽

Pro Inflammatory Cytokines

In recent years there has been an increase in the frequency of multiple pregnancies and the associated perinatal losses. It is a result of multiple pregnancy in ART refers to a high-risk gestation, at which premature births occur in 2 times more often than in singleton pregnancies. The objective: to determine the role of pro-inflammatory cytokines in the pathogenesis of premature labor in multiple pregnancy, as a result of assisted reproductive technology. Patients and methods. to determine the pro-inflammatory cytokines that all pregnant with bagtopliddyam held immunosorbent assay, defined concentrations of interleukin (IL) in serum and cervical mucus. Results. The analysis of the levels of pro-inflammatory cytokines (IL-1, IL-8) in the test environment, found high concentrations in the surveyed women with multiple pregnancy, due to the use of ART, compared with spontaneous multiple and singleton pregnancy. Increased concentration of proinflammatory cytokines in patients with multiple pregnancy by ART is associated with their synthesis at the system level, it stimulated foci of inflammation in the female genitals and extragenital localization. This correlates with the clinical data and statistical analysis, patients with multiple pregnancy as a result of ART had weighed infectious-inflammatory history. Conclusion. The study showed that elevated levels of proinflammatory cytokines in the systemic and local level in patients with multiple pregnancy due to ART, typical for women with miscarriage, because of the physiological course of pregnancy characterized by the predominance of anti-inflammatory cytokines that prevent rejection of the fetus as a foreign factor. Based on the data obtained proved the role of systemic inflammatory factors in the genesis of preterm labor in women with a multiple pregnancy, as a result of assisted reproductive technology. Key words: multiple pregnancy, assisted reproductive technology, premature birth, interleukine-1, interleukine-8.

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Delayed interval delivery of the second and third fetuses in multiple pregnancy triplet (Сase report)

HEALTH OF WOMAN ◽

10.15574/hw.2016.111.148 ◽

2016 ◽

pp. 148-152

Author(s):

Y. Dubossarskaya ◽

◽

L. Padalko ◽

L. Zakharchenko ◽

E. Savel’eva ◽

...

Keyword(s):

Preterm Delivery ◽

Multiple Pregnancy ◽

Bed Rest ◽

Perinatal Morbidity ◽

Perinatal Complications ◽

Triplet Pregnancy ◽

Satisfactory Condition ◽

Nulliparous Women ◽

Perinatal Center ◽

Delayed Interval Delivery

This article describes a clinical case of vaginal delivery in nulliparous women 24 years old delayed interval delivery of the second and third fetuses in spontaneous multiple pregnancy dichorionic triamniotic triplet in a tertiary perinatal center. After preterm delivery in 27+5 weeks of gestation the first fetus to reduce perinatal morbidity and mortality of two fetuses that are left in the uterus, with informed consent of the woman preterm delivery the second and third fetuses occurred at intervals of 38 days, in 33+1 weeks of gestation. Careful monitoring of the state of the mother and fetuses was conducted. To increase the interval between the birth of the first fetus and the second and the third fetuses, prevention of obstetric and perinatal complications used tocolysis, antibiotics, progesterone, the prevention of respiratory distress syndrome of the newborn by corticosteroids and bed rest. Three girls were born alive with a weight of 980, 1800 and 1950 grams correspondingly. Childbirth complicated second degree perineal laceration and retained portions of placenta and membranes, puerperal period was uneventful. After 1.5 months, all infants discharged with her mother in a satisfactory condition with a weight of more than 3000 grams. Key words: multiple pregnancy, triplet pregnancy, delayed interval delivery in triplet pregnancy, preterm delivery.

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