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Dröge Lisa L Charité University Medicine Berlin, - - 2014
In singleton pregnancies, sFlt-1, PlGF and sFlt-1/PlGF-ratio have shown utility as a diagnostic test for preeclampsia (PE). The objective of this study was to characterize serum levels of sFlt-1, PlGF and sFlt-1/PlGF-ratio in normal and preeclamptic twin pregnancies. In a European multicentre case-control study, 49 women with twin pregnancies including ...
Constantine Sarah S Department of Perinatal Imaging, Women's and Children's Hospital, North Adelaide, South Australia, - - 2014
An obstetric ultrasound report in a twin pregnancy that does not unambiguously determine chorionicity and amnionicity in the first trimester is substandard. This article will assist radiologists to understand the importance of reporting the chorionicity and amnionicity in all twin obstetric scans.
Leiria Tiago Luiz Luz TL Serviço de Eletrofisiologia Cardíaca, Instituto de Cardiologia do Rio Grande do Sul, Fundação Universitária de Cardiologia do Rio Grande do Sul, Brasil. Electronic address: - - 2014
Arrhythmias during pregnancy pose a dilemma for the treating physician. Most antiarrhythmic drugs are classified as category C in the FDA labeling system during pregnancy. We describe the case of a pregnant woman who presented syncope due to drug-refractory supraventricular tachycardia who underwent catheter ablation without the use of fluoroscopy.
Griersmith Thérèse H TH Department of Perinatal Medicine,Mercy Hospital for - - 2014
Monochorionic twins as part of a high order multiple pregnancy can be an unintended consequence of the increasingly common practice of blastocyst transfer for couples requiring in vitro fertilisation (IVF) for infertility. Dichorionic triamniotic (DCTA) triplets is the most common presentation, and these pregnancies are particularly high risk because of ...
Blumenfeld Yair J YJ Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California USA (Y.J.B.); George Washington University Biostatistics Center, Washington, DC USA (V.M.); Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama USA (D.J.R.); University of Pittsburgh, Pittsburgh, Pennsylvania USA (S.N.C.); Drexel University, Philadelphia, Pennsylvania USA (A.C.S.); Northwestern University, Chicago, Illinois USA (A.M.P.); Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland USA (U.M.R.); University of Utah, Salt Lake City, Utah USA (M.W.V); Columbia University, New York, New York USA (F.D.M.); The Ohio State University, Columbus, Ohio USA (J.D.I); Case Western Reserve University-MetroHealth Medical Center, Cleveland, Ohio USA (B.M.M); University of North Carolina, Chapel Hill, North Carolina USA (J.M.T.); Wayne State University, Detroit, Michigan USA (Y.S); Brown University, Providence, Rhode Island USA (M.W.C.); University of Texas Southwestern Medical Center, Dallas, Texas USA (J.L); University of Texas Health Science Center, Houston, Texas USA (S.M.R.); and Wake Forest University Health Sciences, Winston-Salem, North Carolina USA (M.H.). - - 2014
To evaluate the accuracy of sonographic classification of chorionicity in a large cohort of twins and investigate which factors may be associated with sonographic accuracy. We conducted a secondary analysis of a randomized trial of preterm birth prevention in twins. Sonographic classification of chorionicity was compared with pathologic examination of ...
Brubaker Sg S Division of Maternal-Fetal Medicine, Columbia University, New York City, NY, - - 2014
To determine whether the use of vaginal progesterone in twin gestations with a cervical length (CL) of ≤2.5 cm is associated with a reduced risk of preterm delivery. Retrospective cohort study. Tertiary-care medical centre in New York City. Women with twin gestations undergoing sonographic cervical length screening. Women with twin gestations ...
Faupel-Badger Jessica M JM Division of Cancer Prevention, National Cancer Institute, Bethesda, MD; Epidemiology and Biostatistics Program, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, - - 2014
The purpose of this study was to compare longitudinally sampled maternal angiogenic proteins between singleton and twin pregnancies. Placental growth factor (PlGF), soluble fms-like tyrosine kinase-1 (sFlt-1), and soluble endoglin (sEng) from healthy pregnant women were quantified at 10, 18, 26 and 35 weeks' gestation (n=91), and during the third ...
De Paepe M E ME The Department of Pathology, Women and Infants Hospital, Providence, RI 02905, USA; The Department of Pathology and Laboratory Medicine, Alpert Medical School of Brown University, Providence, RI 02905, USA; The Program in Fetal Medicine, Alpert Medical School of Brown University, Providence, RI 02905, USA. Electronic address: - - 2014
We established reference values for placental weight, birth weight, and fetal:placental weight ratio (FPR) (a possible index of placental functional efficiency) in monochorionic and dichorionic twin gestations. Placental weight, birth weight, and FPR in function of gestational age, cord insertion type and placental sharing were determined in 151 dye-injected diamniotic-monochorionic ...
Haas Jigal J Department of Obstetrics and Gynecology, Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer, Israel. Electronic address: - - 2014
To determine whether reduction of twin gestation to singleton pregnancy is associated with improved perinatal outcome. A retrospective cohort study. Single tertiary care medical center. A cohort of 63 singleton pregnancies after reduction from dichorionic-diamniotic twins gestation and 62 dichorionic-diamniotic nonreduced twins. Fetal reduction between 11 and 14 weeks of gestation. ...
Paepe Monique E De ME Department of Pathology, Women and Infants Hospital, 101 Dudley St, Providence, RI 02905; Department of Pathology and Laboratory Medicine, Alpert Medical School of Brown University, Providence, RI. Electronic address: - - 2014
Twin birth rates have increased dramatically over the past three decades, and twins currently account for 3% of all pregnancies. Twin pregnancies of any type are at risk for prematurity. In addition, monochorionic twin pregnancies (25-30% of all twin pregnancies) are predisposed to a specific set of complications, including twin-to-twin ...
Sales F A FA AgResearch, Grasslands Research Centre, Palmerston North, New Zealand Gravida: National Research Centre for Growth and Development, Auckland, New Zealand Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand Instituto de Investigaciones Agropecuarias, Centro Regional Kampenaike, Punta Arenas, - - 2014
The objective of this study was to determine the association between intracellular free AA (FAA) profiles in skeletal muscle with muscle growth in twin and singleton fetuses in late pregnancy and at weaning, under an ad libitum feeding regime of the dam. Plasma from singleton- (n = 9) and twin-bearing ...
Ghulmiyyah Labib M LM Department of Obstetrics and Gynecology American University of Beirut Medical Center Beirut, - - 2014
Multiple gestations are on the rise with the advent of artificial reproductive technologies. Even with ovulation induction using clomiphene citrate alone, the twinning rate can reach up to 9 percent. We report a case of recurrent twin gestation after treatment with clomiphene citrate, with the second pregnancy being heterotopic. We ...
Pinborg A A Fertility Clinic, Department of Obstetrics and Gynecology, Hvidovre Hospital, University of Copenhagen, Kettegaard Allé 30, 2650 Hvidovre, Denmark - - 2014
Does cervical conization add an additional risk of preterm birth (PTB) in assisted reproduction technology (ART) singleton and twin pregnancies? Cervical conization doubles the risk of preterm and very PTB in ART twin pregnancies. ART and cervical conization are both risk factors for PTB. In this national population-based controlled cohort ...
Kampman M A M MA From the Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; The Netherlands Heart Institute (ICIN), Utrecht, The - - 2014
To investigate the existing evidence for a link between maternal cardiac function, abnormal utero-placental flow and poor perinatal outcome in women with and without known cardiac disease. The Pubmed and Embase databases were systematically searched for studies relating cardiac functional parameters, uteroplacental flows and pregnancy outcome in women with preexistent ...
Curnow Kirsten J KJ Natera Inc, San Carlos, - - 2014
We sought to determine the ability of single-nucleotide polymorphism-based noninvasive prenatal testing (NIPT) to identify triploid, unrecognized twin, and vanishing twin pregnancies. The study included 30,795 consecutive reported clinical cases received for NIPT for fetal whole-chromosome aneuploidies; known multiple gestations were excluded. Cell-free DNA was isolated from maternal blood samples, ...
Rebarber Andrei A Maternal Fetal Medicine Associates PLLC, New York, NY; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, - - 2014
The objective of this study was to evaluate the ideal cutoff for the glucose challenge test (GCT) in twin pregnancies undergoing screening for gestational diabetes mellitus (GDM). A historical cohort of patients with twin pregnancies were identified from 1 maternal-fetal medicine practice from 2005 through 2013. All patients were administered ...
Montufar-Rueda Carlos C *Complejo Hospitalario, Caja de Seguro Social, Panama City, Panama †Department of Obstetrics, Gynecology and Reproductive Medicine, Division of Maternal-Fetal Medicine, University of Texas Health Science Center, Houston, - - 2014
Cardiac arrest is a rare event during pregnancy. The pregnant population represents a unique subset of cardiac arrest victims. Not only are there unique causes of circulatory collapse during the pregnant state, but the physiological modifications to the maternal physiology during pregnancy require specific modifications to the standard management of ...
Zhao D D Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: - - 2014
Twin anemia-polycythemia sequence (TAPS) is a newly described form of chronic twin transfusion. Previous observational studies noted a discordance between birth weight and individual placental share in TAPS. The purpose of this study was to investigate if fetal growth in monochorionic (MC) twins with TAPS is determined by placental share ...
Cox Phillip M PM West Midlands Perinatal Pathology, Birmingham Womens NHSFT, Birmingham, - - 2014
Chronic twin-to-twin transfusion syndrome (cTTTS) complicates 4-35% of monochorionic diamniotic (MCDA) twin pregnancies and untreated carries a mortality of some 80%, with significant neurological disability in 30-35% of survivors. MCDA twin pregnancies are usually closely monitored for cTTTS, which is identified by discordant growth of the twins with polyhydramnios and ...
Andrijasevic S S Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, - - 2014
Objective: The aim of the study was to investigate the course and outcomes of twin pregnancies conceived by different methods of assisted reproduction (ART) compared to those conceived spontaneously. Methods: The study involved patients with twin pregnancies who delivered at the Ob/Gyn Clinic of the Clinical Center of Serbia over ...
Bassey G - - 2014
Twin pregnancy is a high risk pregnancy with significant implications for both mother and baby. This study is to assess the current status of twin gestation in Port Harcourt in view of the rising incidence worldwide. To determine the prevalence, fetal and maternal outcomes of twin gestation at the University ...
Coleman Alan A Cincinnati Fetal Center, Center for Fetal Cellular and Molecular Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United - - 2014
Abstract Objective To measure amniotic fluid leptin levels in fetuses with twin-twin transfusion syndrome (TTTS) with and without placental insufficiency (PI) and determine its usefulness as a biomarker of PI. Study Design A retrospective case control study of TTTS stage III patients from 2009-2011 was conducted. Cases were pregnancies with ...
Premru-Srsen Tanja T Department of Perinatology, Division of Gynecology, University Medical Center - - 2014
Abstract Objective: The aim of this study was to establish early pregnancy risk indicators for spontaneous twin very preterm birth. Methods: We conducted a retrospective observational population-based study. Twenty-one potential early pregnancy risk factors were analyzed using multivariable logistic regression to determine which of them was independently associated with spontaneous ...
Melamed Nir N Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, - - 2014
To assess the accuracy and to determine the optimal threshold of sonographic cervical length (CL) for the prediction of preterm delivery (PTD) in women with twin pregnancies presenting with threatened preterm labor (PTL). A retrospective study of women with twin pregnancies who presented with threatened PTL and underwent sonographic measurement ...
Haas Jigal J Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel. Electronic address: - - 2014
Multifetal pregnancy reduction (MPR) of triplets to twins results in improved pregnancy outcomes compared with triplet gestations managed expectantly. Perinatal outcomes of early transvaginal MPR from triplets to twins were compared with reduction from triplets to singletons. Seventy-four trichorionic triplet pregnancies that underwent early transvaginal MPR at 6-8 weeks gestation ...
Segal Nancy L NL Department of Psychology,California State - - 2014
The International Society for Twin Studies has lost a valued friend and colleague. Dr Louis Keith, Emeritus Professor of Obstetrics and Gynecology at Northwestern University, in Chicago, passed away on Sunday, July 6, 2014. His life and work with twins will be acknowledged at the November 2014 International Twin Congress ...
- - 2014
THIS IS a true story of two siblings diagnosed with hypothyroidism that recalls the appearance and behaviour changes associated with this condition, treatment and follow up.
Allaf M Baraa MB Department of Obstetrics and Gynecology, Stony Brook Medicine, Stony Brook, New York USA (M.B.A., P.O., R.F.); Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York USA (M.B.A., A.M.V., M.R.C.); Department of Obstetrics and Gynecology, University of Connecticut, Farmington, Connecticut USA (W.A.C., S.F.R., Al.A.S.); Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas USA (S.H., P.J., R.R., H.S.-H., B.S., M.A.B., Al.A.S.); Department of Obstetrics and Gynecology, George Washington University, Washington, DC USA (Am.A.S.); Sidra Medical and Research Center, Doha, Qatar (P.O.); Hartford Hospital, Hartford, Connecticut USA (R.F., A.B.); Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine USA (J.W., G.M.); Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts USA (S.F.R.); Department of Obstetrics and Gynecology, University of Illinois, Chicago, Illinois, USA (S.F.R.); Department of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont USA (M.M., S.D.); Department of Obstetrics and Gynecology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (J.J.); and Department of Preventive Medicine, University of Southern California, Los Angeles, California USA - - 2014
To determine whether intertwin discordant abdominal circumference, femur length, head circumference, and estimated fetal weight sonographic measurements in early second-trimester monochorionic diamniotic twins predict adverse obstetric and neonatal outcomes. We conducted a multicenter retrospective cohort study involving 9 regional perinatal centers in the United States. We examined the records of ...
Maisonneuve Emeline E Department of Obstetrics and Gynaecology and CHU Sainte-Justine, Université de Montréal and Research Centre, Montreal, Quebec, - - 2014
Abstract Objective: Intrauterine growth restriction (IUGR) and prenatal exposure to oxidative stress are thought to lead to increased risks of cardiovascular disease later in life. The objective of the present study was to document whether cord blood oxidative stress biomarkers vary with the severity of IUGR and of vascular disease ...
Pettit K E KE Department of Reproductive Medicine, University of California, San Diego Health System, San Diego, CA, - - 2014
Objective:To determine whether inadequate gestational weight gain in the second trimester in twin pregnancies is associated with an increased risk of preterm birth (PTB) at <32 weeks.Study Design:Retrospective cohort study including 489 twin pregnancies delivered between 2001 and 2013. Rates of weight gain at different gestational ages were compared with ...
Peyvandi Shabnam S Division of Cardiology, Department of Pediatrics; The Fetal Treatment Center, all at the University of California San Francisco Benioff Children's Hospital, San Francisco, Calif., USA, - - 2014
Twin reversed arterial perfusion (TRAP) sequence affects 1% of monochorionic (MC) pregnancies and is caused by abnormal vascular connections between a pump twin and an acardiac mass. The effects of abnormal vascular connections on cerebral vasculature in the pump twin are unknown. We hypothesize that abnormal cerebral vascular impedance, assessed ...
Ferguson Kelly K KK Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, - - 2014
To investigate oxidative stress as a mechanism of preterm birth in human subjects, we examined associations between urinary biomarkers of oxidative stress measured at multiple time points during pregnancy and preterm birth. This nested case-control study included 130 mothers who delivered preterm and 352 who delivered term who were originally ...
Pierlot Caitlin M CM School of Biomedical Engineering, Dalhousie University, 5981 University Avenue, Halifax, NS, B3H 3J5, - - 2014
Pregnancy produces rapid, non-pathological volume-overload in the maternal circulation due to the demands of the growing fetus. Using a bovine model for human pregnancy, previous work in our laboratory has shown remarkable pregnancy-induced changes in leaflet size and mechanics of the mitral valve. The present study sought to relate these ...
Rossi A Cristina AC Department of Obstetrics and Gynecology, University of Bari, Bari, - - 2014
To analyze outcomes of monochorionic twins with twin anemia-polycythemia sequence (TAPS). PubMed, EMBASE, Medline, and reference list. We included reports of TAPS defined prenatally with abnormal Doppler studies of middle cerebral artery and normal amniotic fluid volume which reported data as proportional rates. Abstracted outcomes were postnatal hemoglobin levels, postnatal ...
Pereira Ana C AC Unit of Molecular Mechanisms of Disease (CISA) and Chemical and Biomolecular Sciences, School of Allied Health Sciences, Polytechnic Institute of Porto (ESTSP-IPP), Porto, - - 2014
Oxidative stress designates the state of imbalance between reactive oxygen species (ROS) production and antioxidant levels. In a healthy placenta, there is an increase in ROS production, due to formation of new tissues and inherent metabolism, but this is balanced by higher levels of antioxidants. However, this balance is lost ...
Kacerovsky Marian M Biomedical Research Center, University Hospital Hradec Kralove, Czech - - 2014
Abstract Objective: To determine the cervical and vaginal fluid soluble Toll-like receptor-2 (sTLR2) levels in pregnancies complicated by preterm prelabor rupture of membranes (PPROM) and their correlation to microbial invasion of the amniotic cavity (MIAC) and/or histological chorioamnionitis (HCA). Methods: Sixty-eight women with singleton pregnancies complicated by PPROM were included ...
Raicevic S S Clinic of Gynecology and Obstetrics, Clinical Centre of Montenegro, Podgorica, - - 2014
Fetal distress represents a pathophysiological condition in which oxygen is not available to the fetus in sufficient quantities. In cases of glucose 6-phosphate dehydrogenase (G6PD) deficiency, under conditions of oxidative stress, the residual G6PD and complimentary antioxidant mechanisms may become insufficient to neutralize the large amounts of ROS and to ...
Lee Chulhee C Department of Economics, Seoul National University, Seoul, South Korea. Electronic address: - - 2014
The evidence that demonstrates the negative effects of maternal psychological stress during pregnancy on a wide variety of offspring outcomes is growing. Animal studies suggest that negative influences of maternal stress during pregnancy persist across multiple generations, but the direct evidence to confirm that the effect is present among human ...
McDonald Sheila W SW Department of Paediatrics, University of Calgary, Calgary, AB, Canada, - - 2014
Preterm birth constitutes a significant international public health issue, with implications for child and family well-being. High levels of psychosocial stress and negative affect before and during pregnancy are contributing factors to shortened gestation and preterm birth. We developed a cumulative psychosocial stress variable and examined its association with early ...
Christian Lisa M LM Department of Psychiatry, The Ohio State University Wexner Medical Center, Columbus, Ohio, 43210, USA; The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center; Department of Psychology, The Ohio State University, Columbus, Ohio, 43210, USA; Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio, 43210, USA. Electronic address: - - 2014
There is a substantial body of literature linking psychological stress to adverse pregnancy outcomes, particularly preterm birth. Comparatively few studies have examined potential biological mechanisms explaining these associations. Attention to inflammatory processes is warranted. The current paper describes emerging studies demonstrating that, as in nonpregnant humans and animals, psychological stress ...
Hux Vanessa J VJ Vanderbilt University School of Medicine, Nashville, TN, USA, - - 2014
Preeclampsia is a multisystemic disorder of pregnancy associated with maternal and fetal complications as well as later-life cardiovascular disease. Its exact cause is not known. We developed a pregnancy-specific multisystem index score of physiologic risk and chronic stress, allostatic load (AL), early in pregnancy. Our objective was to determine whether ...
Slimani Ouafae - - 2014
Pregnancy-related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare. A 19-year-old North African woman in her 38th week of pregnancy presented with paraplegia that progressed within 2 days after a rapidly progressive weakness of her lower limbs. Magnetic resonance imaging studies showed ...
Silveira M L ML Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, - - 2014
Prior literature suggests a positive association between psychosocial stress and the risk of diabetes in non-pregnant populations, but studies during pregnancy are sparse. We evaluated the relationship between stress and glucose intolerance among 1115 Hispanic (predominantly Puerto Rican) prenatal care patients in Proyecto Buena Salud, a prospective cohort study in Western ...
Xiao Songshu - - 2014
Intrauterine fetal bone retention is a rare complication and the bony fragments probably work like an intrauterine contraceptive device resulting in secondary infertility. Among the scarcely reported cases in the literature, there was no report described the retention of a large number of fetal bones with nearly intact morphology. The ...
Valdez Susana R SR Laboratorio de Reproducción y Lactancia, IMBECU-CONICET, Mendoza, Argentina; Instituto de Ciencias Básicas, Universidad Nacional de Cuyo, Mendoza, - - 2014
The opioid system modulates prolactin release during late pregnancy. Its role and the participation of ovarian hormones in this modulation are explored in ether stress-induced prolactin release. Estrous, 3-day and 19-day pregnant rats were used. We administered the antagonist mifepristone (Mp) and tamoxifen to evaluate progesterone and estradiol action in ...
Beijers Roseriet R Department of Developmental Psychology, Behavioral Science Institute, Radboud University Nijmegen, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands, - - 2014
Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often proposed mechanism, namely that involving the HPA axis and cortisol, ...
Palagini Laura L Department of Clinical Experimental Medicine, Psychiatric Unit, University of Pisa, School of Medicine, Pisa, Italy. Electronic address: - - 2014
Short sleep duration, poor sleep quality, and insomnia frequently characterize sleep in pregnancy during all three trimesters. We aimed: (i) to review the clinical evidence of the association between conditions of sleep loss during pregnancy and adverse pregnancy outcomes; and (ii) to discuss the potential pathophysiological mechanisms that may be ...
Ferguson Kelly - - 2014
Phthalate exposure during pregnancy has been linked to adverse birth outcomes such as preterm birth, and inflammation and oxidative stress may mediate these relationships. In a prospective cohort study of pregnant women recruited early in gestation in Northern Puerto Rico, we investigated the associations between urinary phthalate metabolites and biomarkers ...
Lim Robert R Harvard School of Public - - 2014
We sought to test experimentally whether maternal stress can promote susceptibility to development of asthma-like allergic airways disease in offspring. Normal pregnant mice (day 15) were subjected to a single restraint stress exposure. We subsequently tested their offspring for the development of airway hyperreactivity (AHR) and allergic airway inflammation (AI), ...
Padilla-Iserte Pablo P Obstetrics Ultrasound Unit, Department of Obstetrics and Gynecology, University Hospital La Fe, Bulevar Sur s/n, 46026 Valencia, - - 2014
To evaluate the obstetric management and neonatal outcomes in twin pregnancies with delayed delivery of the second twin, including follow-up. This study is a review of four cases of delayed delivery of the second twin in our hospital from 2009 to 2012. The obstetric management of the cases from the ...
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