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    
Abstract/OtherAbstract:
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.
Authors:
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.
Affiliation:
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:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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