| Pregnancy outcomes following bipolar umbilical cord cauterization for selective termination in complicated monochorionic multiple gestations. | |
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MedLine Citation:
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PMID: 18042995 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Review Date: 2007-11-26 |
Journal Detail:
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Title: Fetal diagnosis and therapy Volume: 23 ISSN: 1421-9964 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2008 |
Date Detail:
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Created Date: 2008-02-28 Completed Date: 2008-04-22 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
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Languages: eng Pagination: 153-8 Citation Subset: IM |
Copyright Information:
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Copyright 2007 S. Karger AG, Basel. |
Affiliation:
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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 | |
Descriptor/Qualifier:
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Adult Cautery / instrumentation, methods* Female Humans Infant, Newborn Pregnancy 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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