Journals / Perinatoloji Dergisi / 2005 / Cilt: 13 - Sayı: 4

Death of one fetus in twin pregnancy: Report of four case

İkiz eşinin intrauterin ölümü: Dört olgu sunumu

Pages
223–226
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In case of monofetal death of twin pregnancies, the type of placenta should be analyzed and then follow up and treatment modalities of these cases should be choosen.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Twin pregnancies are the pregnacies that intrauterine and perinatal morbidity and mortaliy is higher when compared to monozygotic pregnancies.
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Key Findings & Data:Cases: 10% of all perinatal deaths are related with dizygotic twins.
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Conclusion & Impact:Conclusion: In case of monofetal death of twin pregnancies, the type of placenta should be analyzed and then follow up and treatment modalities of these cases should be choosen.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Fetüs ölümü · Gebelik · çoğul

Abstract

Objectives: Twin pregnancies are the pregnacies that intrauterine and perinatal morbidity and mortaliy is higher when compared to monozygotic pregnancies. Cases: 10% of all perinatal deaths are related with dizygotic twins. In this study we reported four twin pregnancies that had intrauterine death of one twin at 20 th week or later. We analyzed the cases according to maternal age, ultrasonographic findings, results of biochemical tests, birth weeks and perinatal outcomes. One case was monochorionic - monoamniotic and the other three were dichorionic - diamniotic. In two cases other twins died at 9 th and 13 th days after the diagnosis. The other two that were dichorionic - diamniotic reached term without any complications. Conclusion: In case of monofetal death of twin pregnancies, the type of placenta should be analyzed and then follow up and treatment modalities of these cases should be choosen.

Özet

Amaç: Çoğul gebelikler, intrauterin ve perinatal morbidite ve mortalitenin daha fazla görüldüğü gebeliklerdir. Tüm perinatal ölümlerin ortalama %10'unu ikiz gebelikler ile ilgilidir. Olgular: Bu çalışmada ikiz eşinin 20. gebelik haftasında veya daha sonra intrauterin exitus olduğu saptanan 4 olgu sunularak olguların maternal yaş, gebelik sayıları, ultrasonografik bulguları, biyokimyasal testleri, doğum haftaları ve perinatal sonuçları incelendi. Bir olgu monokoryonik - monoamniyotik ve diğer üç olgu ise dikoryonik - diamniotik idi. İki olguda ikiz eşleri tanı konduktan 9 ve 13 gün sonra exitus oldu. Dikoryonik - diamniyotik olan 2 olgu terme kadar ulaştı ve herhangi bir komplikasyon izlenmedi. Sonuç: Monofetal ölüm ile komplike olmuş ikiz gebeliklerde plasenta yapıları tespit edilmeli, tedavi ve takip seçeneği ona göre belirlenmelidir.

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Cite This Article

MUN, S., MIZRAK, T., TANER, C. E., DERİN, G., BÜYÜKTOSUN, C. (2005). Death of one fetus in twin pregnancy: Report of four case. Perinatoloji Dergisi, Cilt: 13 - Sayı: 4, 223–226. https://ajindex.com/articles/300375

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References (12)

  1. Lumme R,Saarikoski S. Antepartum death of one twin. Int J Gynaecol Obstet 1987; 5: 331-6
  2. D'Alton ME, Simpson LL. Syndromes in twins. Semin Perinatol 1995,19: 375-86
  3. Newman RB, Ellings JM. Antepartum management of the multiple gestation: the case for specialized care. Semin Perinatol 1997; 19: 387-403
  4. Peterson IR, Nyholm HCJ. Multiple pregnancies with single intrauterine demise: description of twenty - eight pregnancies. Acta Ostet Gynecol Scand 1999; 78: 202-6
  5. Axt R, Mink D, Hendrik J, Ertan K, Vonn Blohm M, Schmidt W. Maternal and neonatal outcome of twin pregnancies complicated by single fetal death. J Perinat Med 1999; 27: 221-7
  6. Fusi L, Gordon H. Twin pregnancy complicated by single intrauterine death: Problems and outcome with conservative management. Br J Obstet Gynaecol 1990; 97: 511-6
  7. Baxi LV, Daftary A, Loucopoulos a. Single fetal demise in a twin gestation: umbilical vein thrombosis. Gynecol Obstet Invest 1998; 46(4): 266-7
  8. Cattanach SA, Wedel M, White S, Young M. Single intrauterine fetal death in a suspected monozygotic twin pregnancy. Aust NZJ Obstet Gynaecol 1990; 30: 137-40
  9. Wong DJ, Kirz DS. Outcome of twin gestations complicated by antepartum fetal demise. Am J Obstet Gynecol 1991; 164(SPO Abst.603 ): 411
  10. Liu S, Benirschke K, Scioscia AL, Mannino FL. Intrauterine death in multiple gestation. Acta Genet Med Gemellol 1992; 41(1): 5-26
  11. Tawanattanacharoen S, Taylor MJO, Letsk EA, Cox PM, Cowan FM, Fisk NM. Intrauterine rescue transfusion in monochorionic multiple pregnancies with recent single intrauterine death. Perinat Diagn 2001; 21: 274-8
  12. Cunningham FG, Gant NF, Leveno KJ, Gilstrap LC, Hauth JC, Wenstrom KD (eds): Multifetal Pregnancy. In: Williams Obstetrics. Mc Graw Hill 21st Edition 2001; 765-810.