Document Detail


Monochorionic diamniotic triplet pregnancy with prenatal diagnosis of cord entanglement.
MedLine Citation:
PMID:  20500973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Monozygotic monochorionic triplet pregnancies in which triplets share an amniotic cavity (di- or monoamniotic) are very rare. In addition to the other risks of high-order multiple pregnancy, such triplets are at risk for cord entanglement and therefore cord accident and intrauterine demise. CASE: A 32-year-old primigravid woman was found on ultrasound at 25 to 26 weeks' gestation to have a monochorionic diamniotic triplet pregnancy, a short dilated cervix, one fetus with biometry < 10th centile, and cord entanglement. The woman was hospitalized, ultrasound assessment was performed three times per week, and elective Caesarean section was performed at 30 weeks. The triplets subsequently did well. CONCLUSION: Monochorionic diamniotic triplet pregnancy with cord entanglement can be successfully managed by admission, close inpatient monitoring, and elective delivery.
Authors:
Paul J Yong; Duncan F Farquharson; Jagdeep Ubhi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  32     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC, Royal Columbian Hospital, New Westminster BC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Pregnancy
Pregnancy, Multiple*
Prenatal Diagnosis*
Triplets*
Umbilical Cord / ultrasonography*

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