| Monoamniotic twin pregnancies: antenatal management and perinatal results of 19 consecutive cases. | |
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MedLine Citation:
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PMID: 14687047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Fabien Demaria; François Goffinet; Gilles Kayem; Vassilis Tsatsaris; Madieh Hessabi; Dominique Cabrol |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 111 ISSN: 1470-0328 ISO Abbreviation: BJOG Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2003-12-22 Completed Date: 2004-02-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 22-6 Citation Subset: AIM; IM |
Affiliation:
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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 | |
Descriptor/Qualifier:
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Adult Amnion Delivery, Obstetric Female Fetal Death Gestational Age Humans Infant Mortality Infant, Newborn Male Parity Perinatal Care / methods Pregnancy Pregnancy Outcome Pregnancy, Multiple* Prenatal Care / methods* Retrospective Studies Twins, Monozygotic Ultrasonography, Prenatal |
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