Umbilical Artery Doppler Ultrasound for the Determination of Chorionicity in Twin Pregnancies

Author(s):  
Ingec
2011 ◽  
Vol 14 (5) ◽  
pp. 457-462 ◽  
Author(s):  
Boaz Weisz ◽  
Liat Hogen ◽  
Yoav Yinon ◽  
Liat Gindes ◽  
Alon Shrim ◽  
...  

Objective: To evaluate the perinatal outcome of MC twins with selective IUGR (sIUGR).Study design: A prospective study, which included three groups of MC twins: Group A, uncomplicated MC twin pregnancies (n = 91); group B, sIUGR with normal umbilical artery Doppler (n = 19); and group C, sIUGR with abnormal (absence or reversed EDV) umbilical artery Doppler (n = 18). The latter were routinely hospitalized in the high-risk ward under strict surveillance.Results: Neonatal outcome of fetuses complicated with sIUGR and normal Doppler was similar to controls. Neonates born to pregnancies complicated by sIUGR and abnormal Doppler had significantly increased incidence of CNS findings, RDS, NEC, sepsis, and neonatal death compared to controls. Adverse outcome in this group was independently associated only with gestational age at birth.Conclusion: The perinatal outcomes of MC twins complicated with sIUGR and normal Doppler are similar to uncomplicated MC pregnancies. MC twins with sIUGR and abnormal Doppler have reasonable outcomes, yet significantly more neonatal complications compared to non-complicated MC twins.


2008 ◽  
Vol 31 (6) ◽  
pp. 662-668 ◽  
Author(s):  
K. E. A. Hack ◽  
J. J. Kaandorp ◽  
J. B. Derks ◽  
S. G. Elias ◽  
L. Pistorius ◽  
...  

PLoS ONE ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. e64033 ◽  
Author(s):  
Ann Thuring ◽  
K. Jonas Brännström ◽  
Maria Ewerlöf ◽  
Edgar Hernandez-Andrade ◽  
David Ley ◽  
...  

2019 ◽  
Vol 7 ◽  
pp. 232470961986413
Author(s):  
Rita Zafra ◽  
Lauren Conway ◽  
Nadia Solomon

Umbilical artery Doppler ultrasound—which informs on maternal-fetal-placental blood flow—may be the most valuable surveillance tool in triplet pregnancies, crucial to diagnose early fetal growth restriction. To illustrate the prognostic value of Doppler ultrasound and launch a discussion of its role in multiple gestational, high-risk pregnancy, we present the case of a 42-year-old woman with trichorionic triamniotic triplet pregnancy conceived by in vitro fertilization, who showed early signs of poor outcome for one of the triplets via umbilical artery Doppler by the 23rd week and middle cerebral artery Doppler by the 29th week of gestation.


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