| Maternal and neonatal outcome of twin pregnancies complicated by single fetal death. | |
| | |
MedLine Citation:
|
PMID: 10503185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To study the maternal and neonatal outcome of twin pregnancies complicated by the intrauterine death of one fetus after 20 weeks of gestation. DESIGN: Retrospective, observational study of 7 twin pregnancies out of 185 twin pregnancies with the diagnosis of a single intrauterine death over a 5-years period in a university hospital. RESULTS: The incidence of single fetal death in twin gestation after 20 weeks was 3.8% in the study population with a high incidence of intrauterine growth retardation (IUGR) of the remaining fetus and preeclampsia in the further course of pregnancy. The incidence of preterm delivery was 71% with a mean gestational age of 33.0 +/- 1.0 weeks. The median interval from diagnosis of single fetal death to delivery was 10.2 +/- 4.1 days (range 1-28 days). 5 of 7 (71%) cases were delivered by cesarean section for standard obstetrical reasons. Neither perinatal nor neonatal death of the remaining twin were observed. Two cases of neurologic injury were diagnosed after delivery by ultrasound and MRI. No maternal coagulopathy related to single fetal death occurred. CONCLUSION: Expectant management of single fetal death in twin pregnancies might be advisible under close surveillance of both, mother and the surviving fetus. |
| | |
Authors:
|
R Axt; D Mink; J Hendrik; K Ertan; M von Blohn; W Schmidt |
Related Documents
:
|
16389015 - Estimation of pregnancy-related mortality risk by pregnancy outcome, united states, 199... 20800215 - The impact of maternal age on fetal death: does length of gestation matter? 18835635 - High-risk pregnancy and hypoluteoidism in the bitch. 20158395 - Fetal death: a condition with a dissociation in the concentrations of soluble vascular ... 11896835 - Oral pemphigus vulgaris occurring during pregnancy. 12011895 - The teratogenicity of drugs for nausea and vomiting of pregnancy: perceived versus true... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of perinatal medicine Volume: 27 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 1999 |
Date Detail:
|
Created Date: 1999-11-05 Completed Date: 1999-11-05 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: GERMANY |
Other Details:
|
Languages: eng Pagination: 221-7 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, University of the Saarland, Homburg, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Diseases in Twins* Female Fetal Death* Fetal Diseases Fetal Growth Retardation / epidemiology Gestational Age Humans Infant, Newborn Male Obstetric Labor, Premature / epidemiology Polyhydramnios / epidemiology Pre-Eclampsia / epidemiology Pregnancy Pregnancy Outcome* Retrospective Studies Twins* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endothelin-1 levels in infants with pulmonary hypertension receiving extracorporeal membrane oxygena...
Next Document: A fatal case of congenital disseminated Langerhans cell histiocytosis.