Document Detail


Two cases with dichorionic diamniotic triplet pregnancy and early cord entanglement.
MedLine Citation:
PMID:  11665299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Within a period of 6 years (1994-99) we registered 29 triplet deliveries out of a total of 13,969 hospital deliveries (0.02%). Since there is limited information about specific problems of chorionicity in triplet pregnancies, we analysed the 29 cases according to origin of pregnancy and chorionicity. We here report on two cases with a high risk according to chorionicity with dichorionic (DC) diamniotic (DA) triplet pregnancies. Out of the two cases, one pregnancy was spontaneous and one originated after in-vitro fertilization. In both pregnancies, cord entanglement was detected early in pregnancy (at 10 and 15 weeks) by color Doppler velocimetry demonstrating different heart rates within the segment of the entangled umbilical branches. The pregnancies were followed by documenting fetal behavior and color Doppler velocimetry of umbilical and fetal arteries at weekly intervals. In both cases, a primary Cesarean section was performed after detection of lung maturity. In the first case, one of the MA triplets had a transposition of the great arteries and abnormal lung vein drainage, which was the reason for neonatal death three weeks postnatally. Although early cord entanglement has been described in MA twins, this series demonstrates that it can as well be demonstrated in MA triplets. The early detection allows for extensive surveillance of the a priori high risk triplet pregnancy.
Authors:
A E Merién; J van Eyck; B Arabin
Related Documents :
23577619 - Creative solutions to extraordinary challenges in clinical trials: methodology of a pha...
2125059 - The probability of multiple births when multiple gestational sacs or viable embryos are...
8141219 - A prospective comparison of the outcome of triplet pregnancies managed expectantly or b...
12421169 - Frequency of denial of pregnancy: results and epidemiological significance of a 1-year ...
21744369 - Diagnosis of fetal urinary tract malformations: prenatal management and postnatal outcome.
10871489 - Obstetric outcomes in 102 pregnancies after preimplantation genetic diagnosis.
10483539 - Relationship between alpha-fetoprotein and fetal erythropoiesis.
23108489 - Pregnancy in congenital myasthenic syndrome.
9315269 - Violence and adverse pregnancy outcomes: a review of the literature and directions for ...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Twin research : the official journal of the International Society for Twin Studies     Volume:  4     ISSN:  1369-0523     ISO Abbreviation:  Twin Res     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-10-22     Completed Date:  2001-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9815819     Medline TA:  Twin Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  219-22     Citation Subset:  IM    
Affiliation:
Department of Perinatology, Isala (Sophia) Hospital 8025 AB Zwolle, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / ultrasonography
Adult
Amnion / ultrasonography*
Angiography
Chorion / ultrasonography*
Diseases in Twins / diagnosis
Fatal Outcome
Female
Fetal Diseases / ultrasonography
Humans
Male
Placenta / radiography,  ultrasonography
Pregnancy
Pregnancy, High-Risk
Triplets*
Twins, Dizygotic
Twins, Monozygotic
Ultrasonography, Prenatal*
Umbilical Cord / ultrasonography*

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


Previous Document:  Early plasma creatinine values in discordant twins.
Next Document:  Ultrasound determination of chorionicity in twin pregnancy: accuracy and operator experience.