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First trimester fetal head and trunk volume predict growth disturbance in twin pregnancy.
MedLine Citation:
PMID:  21425298     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the usefulness of first trimester fetal head and trunk volume (FHTV) in predicting growth disturbance in twin pregnancy. METHODS: We studied 46 twin pairs from 11 and 14 weeks to delivery. There were 35 dichorionic (76%) and 11 monochorionic (24%) pregnancies. FHTV was assessed by VOCALTM. An inter-twin discrepancy in FHTV, crown-rump length (CRL) and birthweight (BW) were defined by an inter-twin difference greater than 15%. Growth retardation was defined as BW of at least one twin below the 10th percentile. RESULTS: There were 17 cases (37%) of FHTV discrepancy. BW discrepancy and growth retardation were more significantly frequent in cases with FHTV discrepancy than without [11/17 (64.7%) vs 4/29 (13.8%), P = 0.0004 and 7/17 (41.2%) vs 3/29 (10.3%), P = 0.02, respectively]. The detection of BW discordance and growth retardation were significantly higher when using FHTV discordance than CRL discrepancy in the first trimester [11/15 (73%) vs 2/15 (13.3%), P = 0.00001 and 7/10 (70%) vs 1/10 (10%), P = 0.0001, respectively]. CONCLUSION: FHTV discrepancy is a predictor for growth disturbance in twins. Copyright © 2011 John Wiley & Sons, Ltd.
Authors:
M A Fajardo-Expósito; B Hervías; F Bugatto González; V Melero-Jiménez; R Quintero-Prado; M C Facio-Fernández; J L Bartha
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-21
Journal Detail:
Title:  Prenatal diagnosis     Volume:  -     ISSN:  1097-0223     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 John Wiley & Sons, Ltd.
Affiliation:
Fetal Medicine Unit, Department of Obstetrics and Gynaecology, "Puerta del Mar" University Hospital, Cadiz, Spain. marian_fajardo@hotmail.com.
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