Document Detail

Monochorionic quadramniotic quadruplets: sonographic workup.
MedLine Citation:
PMID:  9475369     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We raise the issue of scanning multifetal pregnancies of higher order as early as possible. A rare case of monochorionic/quadramniotic pregnancy seeking multifetal pregnancy reduction and its clinical management is presented. METHODS: Transabdominal scanning at 16 weeks was performed correctly diagnosing the monochorionic quadruplet pregnancy. RESULTS: Suspecting vascular connections between the placentae, the fetal reduction was declined. The patient was delivered at 31 weeks. The 4 female neonates survived with slight ventilatory assistance. CONCLUSION: Multifetal pregnancies in general, but those of higher order in particular, have to be scanned as early as 8-10 weeks to correctly and easily assign their chorionicity and amnionicity. The case of a monochorionic/quadramniotic pregnancy and its clinical course are presented.
I E Timor-Tritsch; A Fleischer; A Monteagudo; E Valderrama
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  12     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    1997 Nov-Dec
Date Detail:
Created Date:  1998-03-17     Completed Date:  1998-03-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  363-7     Citation Subset:  IM    
Columbia-Presbyterian Medical Center, Sloane Hospital for Women, Department of Obstetrics and Gynecology, New York, NY 10032, USA.
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MeSH Terms
Amnion / pathology,  ultrasonography*
Chorion / pathology,  ultrasonography*
Pregnancy Complications / diagnosis*,  pathology,  ultrasonography
Pregnancy Outcome
Pregnancy, Multiple*
Ultrasonography, Prenatal*

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