Document Detail

Monoamniotic twin pregnancies: antenatal management and perinatal results of 19 consecutive cases.
MedLine Citation:
PMID:  14687047     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe the obstetric management and perinatal outcome of antenatally diagnosed monoamniotic twin pregnancies (MATP) in a tertiary level maternity unit. SETTING: Port-Royal Maternity Hospital, Paris, France. POPULATION: MATP that progressed beyond 22 weeks seen from 1993 to 2001. METHODS: A retrospective chart review of all twin pregnancies. Diagnosis of MATP was made by ultrasonography and confirmed by placental pathology. MAIN OUTCOME MEASURE: Perinatal mortality. RESULTS: Among the 1242 twins pregnancies delivered during the study period, 19 were monoamniotic. Four fetuses (10% of all births) had malformations. Perinatal mortality was high (n= 12, 32%) because of fetal deaths (nine cases) and very preterm births (three neonatal deaths). No fetal deaths occurred after 29 weeks. Of the 15 women with at least one live fetus before labour, 6 gave birth by vaginal delivery (40%). No obstetric accidents occurred during vaginal deliveries. CONCLUSION: Perinatal mortality of MATP is still very high, even with accurate, early antenatal diagnosis, intensified surveillance and delivery provided in a tertiary level hospital. The main causes of perinatal deaths are cord accidents in utero, congenital anomalies and very preterm births.
Fabien Demaria; François Goffinet; Gilles Kayem; Vassilis Tsatsaris; Madieh Hessabi; Dominique Cabrol
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  111     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-22     Completed Date:  2004-02-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  22-6     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Maternity Port-Royal, Cochin-Saint Vincent-de-Paul hospital, University Paris V, 123 Bd de Port-Royal, 75014 Paris, France.
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MeSH Terms
Delivery, Obstetric
Fetal Death
Gestational Age
Infant Mortality
Infant, Newborn
Perinatal Care / methods
Pregnancy Outcome
Pregnancy, Multiple*
Prenatal Care / methods*
Retrospective Studies
Twins, Monozygotic
Ultrasonography, Prenatal

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