Twin-Twin transfusion syndrome: a case report

Twin to twin transfusion syndrome is a rare but serious complication of monochorionic twin pregnancy. It is characterized by the development of abnormal placental vascular communication from one foetus (donor) to the other foetus (recipient). If left untreated it led to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosing and treatment. Authors report a case of twin to twin transfusion syndrome in 24 years old primigravida with gestational age of 18 weeks 5 days diagnosed on ultrasound.

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Laser therapy for twin–twin transfusion syndrome in a dizygotic monochorionic twin pregnancy: A case report

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2021.05.039 ◽

2021 ◽

Vol 60 (4) ◽

pp. 791-793

Author(s):

Yao-Lung Chang ◽

Sheng-Yuan Su ◽

An-Shine Chao ◽

Shuenn-Dyh Chang ◽

Wen-I. Lee ◽

...

Keyword(s):

Case Report ◽

Laser Therapy ◽

Twin Pregnancy ◽

Monochorionic Twin

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Editorial–Special Issue

Twin Research and Human Genetics ◽

10.1017/thg.2016.30 ◽

2016 ◽

Vol 19 (3) ◽

pp. 167-167 ◽

Cited By ~ 2

Author(s):

Mark P. Umstad ◽

Ricardo Palma-Dias ◽

Asma Khalil

Keyword(s):

Well Being ◽

Morbidity And Mortality ◽

Perinatal Morbidity ◽

Special Issue ◽

Monochorionic Twin ◽

Editorial Special Issue ◽

Twin Pregnancies

Monochorionic twin pregnancies are subject to unique complications that can threaten the life and well-being of both fetuses, resulting in a disproportionate increase in perinatal morbidity and mortality.

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Conservative treatment for interstitial monochorionic twin pregnancy: Case report and review of the published work

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.12250 ◽

2013 ◽

Vol 40 (3) ◽

pp. 829-832 ◽

Cited By ~ 4

Author(s):

Roberto Berretta ◽

Carla Merisio ◽

Andrea Dall'Asta ◽

Carla Verrotti ◽

Martino Rolla ◽

...

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Twin Pregnancy ◽

Monochorionic Twin

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Hyperreactio luteinalis in a monochorionic twin pregnancy complicated by preeclampsia: A case report

Case Reports in Women s Health ◽

10.1016/j.crwh.2018.e00073 ◽

2018 ◽

Vol 19 ◽

pp. e00073

Author(s):

Laura Sienas ◽

Trevor Miller ◽

Juliana Melo ◽

Herman Hedriana

Keyword(s):

Case Report ◽

Twin Pregnancy ◽

Monochorionic Twin

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Ketuban pecah dini dan tatalaksananya

Jurnal Kedokteran Syiah Kuala ◽

10.24815/jks.v19i3.18119 ◽

2019 ◽

Vol 19 (3) ◽

Author(s):

Mohd. Andalas ◽

Cut Rika Maharani ◽

Evans Rizqan Hendrawan ◽

Muhammad Reva Florean ◽

Zulfahmi Zulfahmi

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Preterm Delivery ◽

Morbidity And Mortality ◽

Perinatal Morbidity ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Diagnosis And Management

Abstrak. Ketuban Pecah Dini (KPD) atau Premature rupture of Membranes (PROM) merupakan pecahnya ketuban yang terjadi sebelum proses persalinan. Ketuban pecah dini terjadi sekitar 1% dari seluruh kehamilan. Ketuban pecah dini menyebabkan terjadinya 1/3 persalinan preterm dan merupakan penyebab 18%-20% dari morbiditas dan mortalitas perinatal. Dalam laporan kasus ini kami melaporkan seorang ibu hamil berusia 35 tahun, gravida 3, hamil aterm dengan ketuban pecah dini, keluhan keluar air dari jalan lahir dan belum inpartu. Laporan kasus ini bertujuan untuk meningkatkan kualitas diagnosa dini serta penatalaksanaan ketuban pecah dini untuk mengurangi risiko bagi ibu dan janin. Abstract.Premature Rupture of Membranes (PROM) is the rupture of amniotic sac prior to the onset of labor beyond 37 week of gestation. Premature Rupture of Membranes occurs in 1% ofall pregnancies. Premature Rupture of Membranes causes 1/3 preterm delivery and a major 18%-20% cause of perinatal morbidity and mortality. In this case report we reported a 35 year old woman with pregnant 3rd child, aterm wiht Premateur rupture of Membrane (PROM) and prior to labor. This report aims to improve the quality of early diagnosis and management of premature rupture of membranes to reduce the risk for the mother and fetus.

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Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182368 ◽

2018 ◽

Vol 7 (6) ◽

pp. 2455

Author(s):

Shivali Bhalla ◽

Seema Grover Bhatti ◽

Shalini Devgan

Keyword(s):

Gestational Age ◽

Perinatal Outcome ◽

Twin Pregnancy ◽

Tertiary Care ◽

Mode Of Delivery ◽

Multiple Pregnancy ◽

Perinatal Outcomes ◽

North India ◽

Care Hospital ◽

Perinatal Morbidity

Background: Multiple pregnancy constitutes an important portion of high risk pregnancies and is a matter of grave concern to obstetricians and paediatricians owing to maternal and perinatal morbidity and mortality associated to it. Objective of present study was to evaluate maternal and perinatal outcome of twin pregnancy.Methods: This observational study included 50 women with twin pregnancy with gestational age of 26 weeks or more. Maternal and perinatal outcomes were studied.Results: The incidence of twin pregnancy was 2.8 % with maximum incidence in age group of 20 -29 years and in multigravida. Mean gestational age was 34.2 weeks. Vertex - vertex fetal presentation was most common presentation. Most frequent mode of delivery was ceserean section (54%). Preterm labour was most common maternal complication (74%), followed by anaemia (62%). Complications in perinatal period were birth hypoxia (58 %), intrauterine growth restriction (15 %), hyper-bilirubinemia (11%) and neonatal sepsis (10 %). 88% of the newborns were LBW. Perinatal mortality in our study was 17%.Conclusions: Twin pregnancies are associated with significant maternal and perinatal morbidity which is more so for second twin. Effective antenatal care planned delivery and good pediatric facilities help decrease the complications. Managment of twin pregnancy requires multidisciplinary approach and involvement of skilled obstetricians and paediatricians.

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Secondary Intra-Abdominal Pregnancy: A Case Report

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v6i2.6756 ◽

2012 ◽

Vol 6 (2) ◽

pp. 44-46

Author(s):

A Shanbhag ◽

A Singh

Keyword(s):

Case Report ◽

Peritoneal Cavity ◽

Early Recognition ◽

Interesting Case ◽

Morbidity And Mortality ◽

Abdominal Pregnancy ◽

Perinatal Morbidity

Abdominal pregnancy is extremely rare, and has been historically defined as an implantation in the peritoneal cavity exclusive of tubal, ovarian and intraligamentary pregnancy. Abdominal pregnancy can be primary or secondary. The presence of abdominal pregnancy is associated with increased maternal and perinatal morbidity and mortality. The reported incidence of abdominal pregnancy ranges from 1 per 2200 to 1 per 10,200 pregnancies1. The early recognition and management of the same is necessary to prevent untoward complications. This case report describes an interesting case of a 16 year primigravida with a live secondary abdominal pregnancy. NJOG 2011 Nov-Dec; 6 (2): 44-46 DOI: http://dx.doi.org/10.3126/njog.v6i2.6756

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Is it correct to trust each ultrasonography report blindly? a case report on misdiagnosis, diagnosis and management of acardiac twin pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202363 ◽

2020 ◽

Vol 9 (6) ◽

pp. 2628

Author(s):

Pooja Chandak ◽

Shobha Toshniwal

Keyword(s):

Case Report ◽

Twin Pregnancy ◽

Rare Complication ◽

Fetal Medicine ◽

Monochorionic Twin ◽

Arterial Perfusion ◽

Acardiac Twin ◽

Risk Pregnancy ◽

Twin Pregnancies ◽

Multifetal Pregnancy

Multifetal gestation is often a high-risk pregnancy and especially the monochorionic twin pregnancy significantly contributes to fetal morbidity and mortality. Acardiac twinning, earlier known as chorioangiopagus parasiticus, is the most extreme manifestation of this condition. An acardiac twin is a rare complication of multifetal pregnancy, in the literature reported at an incidence of 1% of monochorionic twin pregnancies, i.e. 1 of 35,000 pregnancies. Often results from abnormal placental vascular anastomoses. This leads to twin reversal arterial perfusion with complex pathophysiology. Here authors present a case of acardiac twin pregnancy presented at 26 weeks with the ultrasonography report suggested?? Placental teratoma of size 11×11×13 cm with polyhydramnios as there was no reason to suspect something else as the picture described in the USG report with the polyhydramnios was fitting with the diagnosis of placental teratoma but as the scan was done at taluka place and the images provided were not clear authors decided to confirm the diagnosis from fetal medicine specialist as MTP was not the option for the patient as she was 28 weeks who confirmed that as a case of acardiac twin pregnancy and the case was managed accordingly.

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A study on maternal and perinatal outcome in premature rupture of membranes at term

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175244 ◽

2017 ◽

Vol 6 (12) ◽

pp. 5368 ◽

Cited By ~ 3

Author(s):

Sailaja Surayapalem ◽

Vijayalakshmi Cooly ◽

Bhuvaneswari Salicheemala

Keyword(s):

Gestational Age ◽

Maternal Morbidity ◽

Birth Asphyxia ◽

Neonatal Morbidity ◽

Well Being ◽

Morbidity And Mortality ◽

Age Group ◽

Perinatal Morbidity ◽

Premature Rupture Of Membranes ◽

Premature Rupture

Background: Premature rupture of membranes is defined as rupture of foetal membranes before the onset of labour. Management of cases of PROM still remains as one of the most difficult and controversial problems in obstetrics. PROM can cause maternal complications like chorioamnionitis, increased operative procedures, puerperal sepsis and neonatal morbidity and mortality. The present study is undertaken to study the labour outcome, maternal morbidity and perinatal morbidity and mortality in term PROM.Methods: 200 Cases of spontaneous rupture of membranes with gestational age >37 weeks with confirmed PROM by a speculum examination were selected. A detailed history was taken, and gestational age confirmed, general, systemic and obstetric examinations were done. Parameters of maternal and foetal well being were recorded. All study groups received prophylactic antibiotics. Single pelvic examination done, and maternal vitals recorded fourth hourly. All the data was analyzed and statistical significance was calculated using Chi-square test.Results: PROM was common in age group of 20-24 years (35%) with mean age of 22.6 years and SD of 2.8 years, and common in primigravida. Majority of women were admitted within six hours of PROM (41.5%) and Mean duration of induction to delivery interval was 12.9 hours. The mean duration between PROM to delivery was 20.2 hours which was statistically significant. Cesarean sections were more among primigravidas. Failure to progress was the common indication. Maternal morbidity was significant (17.5%). No maternal mortality in the study. Perinatal mortality was 1.5%. Birth asphyxia was the commonest cause. Perinatal morbidity was seen in 26%. Escherichia coli was common organism found in cervical swab culture.Conclusions: In present study, majority was primigravidas and the most common age group was 20-24 years belonging to low socioeconomic status. Maternal morbidity and neonatal morbidity was associated with increased duration of PROM to delivery and infection of the female genital tract with pathogens. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy.

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