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Twin-twin transfusion syndrome treated with serial amniocenteses
- Source :
- Acta Obstetricia et Gynecologica Scandinavica. 83:326-329
- Publication Year :
- 2004
- Publisher :
- Wiley, 2004.
-
Abstract
- Background. To evaluate the treatment and neonatal outcome in pregnancies complicated by twin-twin transfusion syndrome (TTS). Material and methods. Twenty-four women with TTS were identified in the period 1993-99 among 34 477 deliveries. We include a retrospective chart review of all twins with TTS. Results. The overall incidence of TTS was 4.75% of all twin pregnancies. The mean gestational age at the time of diagnosing TTS was 23 weeks (range 17.6-38), and the mean gestational age at delivery was 34.6 weeks (range 23.1-38.3). Therapeutic amniocenteses was performed in 21 women. The total volume drained varied from 0.4 to 32.31 with a mean of 2.3 l. Overall perinatal mortality in TTS was 35.4%, as nine donor twins and eight recipient twins died. The main causes for mortality were intrauterine death and prematurity. Conclusion. Twin-twin transfusion syndrome is a severe complication in monochorionic diamniotic twin pregnancies, with high perinatal mortality and morbidity even though amnioreduction prolon...
- Subjects :
- Pregnancy
Polyhydramnios
medicine.medical_specialty
medicine.diagnostic_test
business.industry
Obstetrics
Incidence (epidemiology)
Obstetrics and Gynecology
Gestational age
Retrospective cohort study
General Medicine
medicine.disease
medicine
Amniocentesis
business
Twin Twin Transfusion Syndrome
Severe complication
Subjects
Details
- ISSN :
- 00016349
- Volume :
- 83
- Database :
- OpenAIRE
- Journal :
- Acta Obstetricia et Gynecologica Scandinavica
- Accession number :
- edsair.doi...........7de84aaed84fd18d03843b2fb5db9cc3