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Gyesaw Nana Yaa Konadu NY Regional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, Accra, - - 2013
The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several ...
Vogel Joshua P - - 2013
Twin pregnancies in low- and middle-income countries (LMICs) pose a high risk to mothers and newborns due to inherent biological risks and scarcity of health resources. We conducted a secondary analysis of the WHO Global Survey dataset to analyze maternal and perinatal outcomes in twin pregnancies and factors associated with ...
Plesinac S - - 2013
During the last decade, the rate of twin pregnancies has increased and reached 3% of all pregnancies. This study enrolled 36 twin pregnancies that were followed and delivered at the Clinic for Gynecology and Obstetrics, Clinical Center of Serbia over a five-year period. The first group included 15 patients with ...
Mpogoro Fj - - 2013
Advanced abdominal pregnancies with live twin fetuses are extremely rare and are misdiagnosed in up to 60% of the cases. Such a case is presented here, highlighting the diagnostic and management challenges encountered. A high index of suspicion in making the diagnosis of this rare variety of ectopic pregnancy, emphasizing ...
Li Rong - - 2012
OBJECTIVE: To assess the effectiveness and feasibility of retaining a singleton or twins for multifetal pregnancy reduction (MFPR) in triplet pregnancy with monochorionic twins. STUDY DESIGN: This retrospective study was conducted from January 2006 to September 2011 at a university reproductive medical center. Multifetal pregnant patients (n=35) with dichorionic triplets ...
Chalouhi G E - - 2012
OBJECTIVE: This study aims to compare outcomes of active management of monochorionic diamniotic twin pregnancies complicated with severe intrauterine growth restriction (IUGR) of one twin before 24 weeks with continuous or intermittent absent or reversed end-diastolic flow (AREDF) in the umbilical artery, with or without twin-to-twin transfusion syndrome (TTTS). METHOD: This ...
Brown Richard - - 2012
Multi-fetal pregnancy reduction (MFPR) is offered in the management of higher-order multiple gestations to reduce the risks associated with such pregnancies. Pregnancy outcomes, including birthweight, following MFPR have been examined with variable findings. However, little attention has been paid to in-utero growth in such pregnancies. This study examines whether the ...
Chaudhuri Kanika - - 2012
AIM: For twin pregnancy, discrepancies in the crown-rump length (CRL) between two fetuses often exist. Evidence is lacking regarding which fetal CRL should be used for estimation of gestational age (GA). Our aim was to determine whether the larger, smaller or the mean CRL is more accurate in determining the ...
Tal Reshef - - 2012
This study evaluated anti-Müllerian hormone (AMH) as a possible predictor of twin pregnancy in women undergoing fresh cycles who had more than one embryo transferred. A retrospective study was performed of 139 patients undergoing fresh non-donor cycles which resulted in either singleton or twin pregnancy between 2009 and 2010 in ...
Milne Elizabeth - - 2012
PURPOSE: Childhood acute lymphoblastic leukemia (ALL) is the most common childhood malignancy and brain tumors (CBTs) are the leading cause of cancer death in children. In our Australian case-control studies of these cancers, we investigated whether parental alcohol consumption before or during pregnancy was associated with risk. METHODS: Cases were ...
Laskov I I Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv University , Tel Aviv , - - 2013
To investigate prematurity rate in women aged ≥45 carrying a twin pregnancy. Other maternal and neonatal outcomes are also described. Retrospective cohort study. Women delivering a twin pregnancy at a single tertiary medical center. The study included all women aged 45 years and over carrying a twin pregnancy who delivered ...
Sazonova Antonina - - 2012
OBJECTIVE: To compare outcomes for women undergoing two in vitro fertilization (IVF) pregnancies with singletons and women undergoing one IVF twin pregnancy. The concept of single-embryo transfer in IVF has reduced the risks of both maternal and neonatal complications, but there is still a discussion of whether or not twins are ...
Ghi Tullio - - 2012
OBJECTIVE: To compare the rate of neonatal respiratory morbidity in singletons versus twins delivered by pre-labour caesarean section. STUDY DESIGN: Uncomplicated pregnancies delivered by prelabor caesarean section at 34+0 to 37+6 weeks' gestation were retrospectively selected. For both singletons and twins caesarean delivery was undertaken electively only after amniocentesis and ...
D'Antonio Francesco - - 2012
Objectives: Monochorionic (MC) twins are at increased risk of early fetal loss secondary to vascular complications such as twin-twin transfusion syndrome (TTTS). The aim of this study is to compare the early perinatal loss rates between MC and dichorionic (DC) twins in an era of invasive treatment for TTTS. Methods: ...
Visentin Silvia - - 2012
Abstract Objective: To assess perinatal outcome in type II monochorionic (MC) diamniotic twin pregnancies (DA) affected by selective intrauterine growth restriction (sIUGR) and abnormal cord insertion managed expectantly. Methods: A prospective longitudinal study from June 2008 and July 2011 on 24 MCDA sIUGR twins. sIUGR was defined as estimated fetal ...
Pardon Bart - - 2012
Here, we describe two cases of left displaced abomasum (LDA) in Holstein cattle at 6 and 9 months of twin gestation. Clinical examination revealed signs of proximal ileus with marked abdominal distension, but no ping sounds. An unusually high position of the gravid uterine horn on the left side was ...
Patra Sharmishtha - - 2012
Twin reversed arterial perfusion syndrome is the extreme manifestation of twin to twin transfusion syndrome. The pathogenesis is thought to be reversed arterial transfusion. Acardiac foetus grossly features severe reduction anomalies particularly of the upper body. Although the acardiac twin is nonviable, it can cause severe obstetric, foetal and maternal ...
Letherby Gayle - - 2012
In this paper, we report on findings from a Diabetes UK funded qualitative research project concerned to explore daughter/mother relationships during pregnancy and the transition to motherhood of women with pre-existing diabetes. In-depth qualitative interviews took place with 12 pregnant women with pre-existing diabetes and four of their mothers, three ...
Saini Ashish - - 2012
Anterior fetal neck masses are rarely encountered. Careful routine ultrasound screening can reveal intrauterine fetal goiters (FGs). The incidence of goitrous hypothyroidism is 1 in 30,000-50,000 live births. The consequences of both FG and impaired thyroid function are serious. To emphasize role of ultrasound in both invasive and non-invasive management ...
Kosińska-Kaczyńska Katarzyna - - 2012
A monochorionic monoamniotic (MCMA) twin pregnancy is the rarest form of twin gestation, accounting for around 1:10000 to 1:20000 of all deliveries regardless of the region of the world. All multiple gestations have a higher risk of preterm delivery due to either preterm uterine contractions or asymptomatic cervical shortening (cervical ...
Sun Cheng-Juan - - 2012
Twin pregnancy with mosaic partial hydatidiform mole (PHM) and survival of two healthy fetuses following in vitro fertilization and embryos transfer (IVF-ET) is a rare situation and is considered a challenge for management. A 32-year-old Chinese woman conceived twin pregnancy following IVF-ET. At 22 weeks' gestation, an additional intrauterine echogenic ...
Burt S Alexandra - - 2012
Rates of twinning have risen dramatically over the last 30 years, from 1 in 53 births in 1980 to 1 in 30 births in 2009 (Martin et al. (January 2012). Three decades of twin births in the United States, 1980-2009. Atlanta, GA: Centers for Disease Control and Prevention, National Center ...
Munoz Javier - - 2012
Inherited dysfibrinogenemia is a rare disorder caused by mutations in the fibrinogen gene, described in approximately 400 families to date. We present the case of a 20-year-old woman at 7 weeks of pregnancy with a history of two first-trimester spontaneous abortions and a family history of thrombotic events. Her testing ...
- - 2013
We sought to review the natural history, pathophysiology, diagnosis, and treatment options for twin-twin transfusion syndrome (TTTS). A systematic review was performed using MEDLINE database, PubMed, EMBASE, and Cochrane Library. The search was restricted to English-language articles published from 1966 through July 2012. Priority was given to articles reporting original ...
Jauniaux E - - 2012
Iatrogenic twinning has become the main side-effect assisted reproduction treatment. We have evaluated the evidence for additional care that assisted-reproduction twins may require compared with spontaneous twins. Misacarriages are increased in women with tubal problems and after specific treatments. Assisted-reproduction twin pregnancies complicated by a vanishing twin after 8 weeks ...
Niinimäki M - - 2013
Is an elective single-embryo transfer (eSET) policy feasible for women aged 40 or older? For older women (aged 40-44 years) with a good prognosis, an eSET policy can be applied with acceptable cumulative clinical pregnancy rates and live birth rates. Various studies have shown the effectiveness of eSET in women ...
Loke Yuk Jing - - 2012
The Peri/postnatal Epigenetic Twins Study (PETS) is a longitudinal cohort of 250 pairs of Australian twins and their mothers, who were recruited mid-way through pregnancy from January 2007 to September 2009. The study is centered on the developmental origins of health and disease paradigm (DOHaD) in which an adverse intrauterine ...
Baud David - - 2012
OBJECTIVE: To compare perinatal outcomes of pregnancies undergoing "early" (<17 wks) or "late" (>26 wks) fetoscopic laser ablation of placental vascular anastomoses for twin-twin transfusion syndrome (TTTS) to "conventional" cases treated between 17-26 wks gestation. STUDY DESIGN: Single center, retrospective analysis of 325 consecutive pregnancies which underwent fetoscopic laser therapy ...
Segal Nancy L - - 2012
A look at scientific studies of sports performance is informative in view of the 2012 Olympic games in London. The athletic life histories of selected twin competitors supplement the scientific data. Reviews of recent twin studies concerning cardiometabolic risk factors, postnatal brain maturation, parental responses to rearing triplets, and the ...
Smoley Brian A - - 2012
Natural family planning methods provide a unique option for committed couples. Advantages include the lack of medical adverse effects and the opportunity for participants to learn about reproduction. Modern methods of natural family planning involve observation of biologic markers to identify fertile days in a woman's reproductive cycle. The timing ...
Krupitzki Hugo B HB Dirección de Investigación, CEMIC (Centro de Educación Médica e Investigaciones Clínicas), Buenos Aires, Argentina. - - 2013
We analyzed the role of environmental risk factors, sociodemographic characteristics, clinical characteristics, and reproductive history in preterm births and their associated perinatal outcomes in families classified according to their histories of preterm recurrence among siblings. A retrospective study was conducted at Nuestra Señora de la Merced Maternity Hospital in the ...
Ooki Syuichi - - 2012
To gain widespread participation, epidemiologic studies of twins from pregnancy through the childhood period are expected to reflect the needs and concerns of families and provide participants with appropriate and useful feedback based on scientific evidence. Our most recent database on families with twins throughout Japan is based on a ...
Mulla Zuber D - - 2012
PURPOSE: To assess the association between fetal sex pairing in twin pregnancies and adverse perinatal and infant outcomes. METHODS: A retrospective cohort study of 9770 infants from 4885 twin pregnancies delivered in 2007 was conducted with a statewide hospital discharge database for Texas. Log-binomial regression models based on generalized estimating ...
Piccoli Giorgina Barbara GB Clinical and Biological Sciences, University of Torino at San Luigi, Turin, Italy. - - 2013
CKD and multiple pregnancies bear important risks for pregnancy outcomes. The aim of the study was to define the risk for adverse pregnancy-related outcomes in multiple pregnancies in CKD patients in comparison with a control group of "low-risk" multiple pregnancies. The study was performed in the Maternal Hospital of the ...
Bibbo C - - 2012
Please cite this paper as: Bibbo C, Deluca L, Gibbs K, Saltzman D, Rebarber A, Green R, Fox N. Rescue corticosteroids in twin pregnancies and short-term neonatal outcomes. BJOG 2012; DOI: 10.1111/1471-0528.12021. Objective  To estimate the efficacy of a rescue course of antenatal corticosteroids in twin pregnancies. Design  Retrospective cohort ...
Tan Woo Syong - - 2012
Maternal fetal medicine (MFM) is a subspecialty of obstetrics that focuses on identified risk pregnancies. The role includes obstetric ultrasound for fetal assessment and diagnosis of anomalies, invasive prenatal diagnosis and management of pregnancies complicated by maternal medical disorders, multiple fetuses and the antenatal management of extreme prematurity. Skill specialisation ...
Dunn Tamara - - 2012
Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening inflammatory disorder characterized by uncontrolled proliferation and activation of histiocytes with phagocytosis of normal hematopoietic cells. A 41-year-old woman, 19 weeks pregnant with twins, and a history of Still's disease, presented with rash, fever, and headache. Laboratory studies revealed transaminitis, hyperbilirubinemia, and eventually ...
Malinowski Witold - - 2012
The actual rate of multiple pregnancies is significantly larger than that observed during labor due to the fact that in the course of pregnancy intrauterine death of one or more fetuses may occur. A twenty-six old woman (GII, PII) reported to hospital in 26 weeks of DC/DA twin gestation complicated ...
Aziz Saima - - 2012
To determine the frequency of twin births and their foetomaternal complications in women of low socioeconomic profile. The cross-sectional study was conducted from January 2009 to December 2010 at the Obstetrics and Gynaecolgy Unit I, Civil Hospital, Karachi. Patients with twin pregnancy giving birth beyond 24 weeks, were selected by ...
Qu James Z Z - - 2012
BACKGROUND:The current methods for distinguishing the zygosities of twins include ultrasound scanning, which is nondefinitive, and amniocentesis, which is invasive. We explored the use of massively parallel sequencing of maternal plasma DNA for the noninvasive prenatal assessment of the zygosities of twin pregnancies.METHODS:Plasma DNA was extracted from blood collected from ...
Cabassa Paolo - - 2012
OBJECTIVE: To evaluate the initial experience at our centre in the treatment of monochorionic twin pregnancies complicated by twin reversed arterial perfusion sequence (TRAP), using radiofrequency ablation (RFA) with expandable needles, and to review the existing literature on the subject. STUDY DESIGN: Between July 2007 and October 2010, 11 monochorionic ...
Derom Catherine - - 2012
The East Flanders Prospective Twin Survey (EFPTS) is a prospective, population-based registry of multiple births in the province of East-Flanders, Belgium. EFPTS has several unique features: it is population-based and prospective, with the possibility of long-term follow-up; the twins (and higher order multiple births) are recruited at birth; basic perinatal ...
van der Linden D S - - 2012
Understanding the link between placental function and fetal growth is critical in order to comprehend the mechanisms underlying altered fetal growth. This study investigated the relationship between fetal weight and placentome type and size in placentae of singleton and twin fetuses and fetuses within twin-pair from ad libitum-fed ewes at ...
Vergani Patrizia - - 2012
Objective To evaluate the perinatal outcome of twins approaching term in relation to chorionicity and gestational age at delivery.Study Design We accessed data pertaining to a cohort of 471 twin pregnancies with certain chorionicity delivered at > 34.0 weeks' gestation. Twin gestation per se, estimated fetal weight below the 10th percentile, or any intertwin ...
Stout Molly J MJ Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA. - - 2013
Uterine fibroid tumors have been associated with adverse outcomes in singleton pregnancies. We aimed to estimate risk for adverse obstetric outcomes that are associated with fibroid tumors in twin pregnancies. A retrospective cohort study of twin pregnancies with ≥1 fibroid tumor on second trimester ultrasound examination. Outcomes included small-for-gestational-age fetal ...
McPherson Jessica A - - 2012
OBJECTIVE: To estimate the risks of adverse pregnancy outcomes associated with early vaginal bleeding in twin pregnancies. STUDY DESIGN: In a retrospective cohort study of consecutive twin pregnancies undergoing anatomic survey, we compared women who reported vaginal bleeding at less than 22 weeks to those who did not. Exclusion criteria ...
Brescianini Sonia - - 2012
The Italian Twin Register has been in place for more than 10 years. Since its establishment, it has been focusing, on the one hand, on a continuous update of the existing information, and on the other hand, on new phenotypes and sample collection. Demographic data on about 140,000 twins have ...
Schaaf Jm - - 2012
Please cite this paper as: Schaaf J, Hof M, Mol B, Abu-Hanna A, Ravelli A. Recurrence risk of preterm birth in subsequent twin pregnancy after preterm singleton delivery. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03504.x. Objective  To determine the risk of preterm birth in a subsequent twin pregnancy after previous singleton preterm birth. ...
Picchietti Daniel L - - 2012
Restless legs syndrome (RLS) is more common during pregnancy than in the general population, occurring at a 2-3 times higher prevalence. While iron, genetics, and central nervous system dopamine have been shown to play major roles in RLS unrelated to pregnancy, the etiology and treatment of RLS during pregnancy have ...
Biswas Arijit - - 2012
Caesarean section incidence is steadily rising worldwide; the major contributor to this rise is pregnancies with previous caesarean section. Hence, it is important to scrutinise carefully the indication of primary caesarean sections. Preterm births, breech presentation and twin pregnancies together complicate 12-18% of all births. The role of caesarean section ...
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