Document Detail

Monoamniotic twins in a triplet gestation with favorable outcome.
MedLine Citation:
PMID:  11508134     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Monoamniotic twins in a triplet gestation is a rare combination. Each condition is separately associated with significant perinatal morbidity and mortality. There are no data about the outcome and management of such gestations. CASE: We report a case of monoamniotic twins in a spontaneous dichorionic triplet gestation with a favorable outcome. Transvaginal ultrasound examination at nine weeks confirmed the diagnosis. Close follow-up was established that included continuous fetal monitoring after 30 weeks. At 35 weeks and after confirming fetal lung maturity, elective cesarean delivery was performed resulting in three liveborn female infants. CONCLUSION: Favorable outcome of such a rare coexistence of monoamniotic twins in a triplet gestation is possible. Vigilant fetal monitoring and timed delivery remain the mainstays of management.
H Harirah; S E Donia; D C Jones; C D Hsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Connecticut medicine     Volume:  65     ISSN:  0010-6178     ISO Abbreviation:  Conn Med     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-17     Completed Date:  2001-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372745     Medline TA:  Conn Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Division of Maternal-Fetal Medicine, Galveston, Texas, USA.
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MeSH Terms
Amnion / ultrasonography*
Cesarean Section
Chorion / ultrasonography*
Infant, Newborn
Pregnancy Complications / ultrasonography*
Pregnancy, Multiple* / physiology
Twins, Monozygotic
Ultrasonography, Prenatal

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