Document Detail


Maternal coagulopathy after umbilical cord occlusion for twin reversed arterial perfusion sequence.
MedLine Citation:
PMID:  23884274     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Twin reversed arterial perfusion sequence is a rare complication of monochorionic twin gestations for which therapy involves the disruption of vascular anastomoses between the pump twin and acardiac twin and death of the acardius.
CASE: A 37-year-old woman, gravida 11 para 2, with a monochorionic twin pregnancy complicated by twin reversed arterial perfusion sequence who underwent umbilical cord occlusion at 24 weeks of gestation was admitted in preterm labor at 33 weeks of gestation. Maternal disseminated intravascular coagulation (DIC) was diagnosed and her labor was induced. She received multiple blood products to correct her coagulopathy and had an uncomplicated vaginal delivery of the viable pump twin.
CONCLUSION: Maternal DIC may complicate fetal death after umbilical cord occlusion.
Authors:
Christopher M Novak; Shweta V Patel; Ahmet A Baschat; Kimberly W Hickey; Scott M Petersen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  122     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  498-500     Citation Subset:  AIM; IM    
Affiliation:
Departments of Obstetrics and Gynecology, National Capital Consortium, Uniformed Services University of the Health Sciences, and Walter Reed National Military Medical Center, Bethesda, and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, Maryland.
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