Document Detail

Pregnancy outcomes following bipolar umbilical cord cauterization for selective termination in complicated monochorionic multiple gestations.
MedLine Citation:
PMID:  18042995     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. STUDY DESIGN: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. RESULTS: UCC was performed at 21.2 +/- 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 +/- 4.7 weeks. Mean birth weight was 2,218 +/- 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. CONCLUSION: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.
John G Ilagan; R Douglas Wilson; Michael Bebbington; Mark P Johnson; Holly L Hedrick; Kenneth W Liechty; N Scott Adzick
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-11-26
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  23     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-28     Completed Date:  2008-04-22     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  153-8     Citation Subset:  IM    
Copyright Information:
Copyright 2007 S. Karger AG, Basel.
Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia, Department of Surgery and Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA.
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MeSH Terms
Cautery / instrumentation,  methods*
Infant, Newborn
Pregnancy Complications* / diagnosis,  epidemiology
Pregnancy Outcome* / epidemiology
Pregnancy Reduction, Multifetal / instrumentation,  methods*
Pregnancy, Multiple*
Retrospective Studies
Umbilical Cord* / blood supply,  surgery

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