Document Detail


The outcome of triplet gestations complicated by fetal death.
MedLine Citation:
PMID:  2405315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intrauterine death in twin pregnancies has been reported to be associated with a very high incidence of morbidity and mortality in the surviving co-twin, mostly attributed to vascular disruption when vascular anastomosis exists between the twins' circulations. The present study describes the obstetric, neonatal, and follow-up data of five triplet gestations complicated by intrauterine death of one or two fetuses, compared with a control group of triplets matched for gestational age. Delivery occurred an average of 30 +/- 26 days after the diagnosis of intrauterine fetal death. Four of the five placentas were monochorionic. All nine infants survived, but four were small for gestational age (SGA). A comparison of study cases and controls revealed that monochorionic placentation was found only in the study group, that SGA infants were more likely (but not significantly so) to be in the study group, and that study infants required significantly less ventilatory support. Although the only case of long-term morbidity was in the study group, the cause of this complication was consistent with prematurity.
Authors:
R Gonen; E Heyman; E Asztalos; J E Milligan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  75     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-03-15     Completed Date:  1990-03-15     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  175-8     Citation Subset:  AIM; IM    
Affiliation:
University of Toronto Perinatal Complex, Women's College Hospital, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Embryonic and Fetal Development / physiology
Female
Fetal Death / complications*
Fetal Diseases / epidemiology
Gestational Age
Humans
Incidence
Pregnancy
Pregnancy Outcome*
Pregnancy, Multiple*
Triplets
Ultrasonography
Comments/Corrections
Comment In:
Obstet Gynecol. 1990 Jul;76(1):157-8   [PMID:  2359563 ]

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


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