Document Detail


Indomethacin in severe twin-to-twin transfusion syndrome.
MedLine Citation:
PMID:  8442793     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite advances in maternal fetal medicine, the management of severe twin-to-twin transfusion syndrome in the second trimester presents a significant challenge. Presently, there is no uniformly accepted management protocol that is available for the treatment of this syndrome. We report the use of indomethacin in three cases of severe twin-to-twin transfusion syndrome in the second trimester. In the three cases of severe twin-to-twin transfusion syndrome no reduction of amniotic fluid in either sac was demonstrated. Two cases were complicated by single intrauterine fetal death within 72 hours of initiating indomethacin therapy. Because of our experience with these three cases, we conclude that indomethacin does not prevent perinatal mortality in patients with severe twin-to-twin transfusion syndrome.
Authors:
J M Jones; A J Sbarra; L Dilillo; C L Cetrulo; M E D'Alton
Related Documents :
2637623 - Dandy-walker syndrome: follow up of an unoperated case and her identical twin.
17766613 - First- and second-trimester screening: detection of aneuploidies other than down syndrome.
2637623 - Dandy-walker syndrome: follow up of an unoperated case and her identical twin.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  10     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-04-08     Completed Date:  1993-04-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  24-6     Citation Subset:  IM    
Affiliation:
Department of Maternal Fetal Medicine, St. Margaret's Hospital for Women, Boston, Massachusetts.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetal Death / prevention & control
Fetofetal Transfusion / drug therapy*,  mortality
Humans
Indomethacin / therapeutic use*
Infant Mortality
Infant, Newborn
Pregnancy
Pregnancy Trimester, Second
Chemical
Reg. No./Substance:
53-86-1/Indomethacin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Placental abruption following placement of disposable intrauterine pressure transducer system.
Next Document:  Mode of ascertainment is critical in assessing safety of percutaneous umbilical blood sampling.