Twin Pregnancies with Single Fetal Death: Analysis of 38 Cases
Zekai Tahir Burak Women Health Research and Education Hospital , Ankara , Turkey.Fetal and pediatric pathology (Impact Factor: 0.48). 04/2012; 32(1). DOI: 10.3109/15513815.2012.671446
The objective of this study is to evaluate fetal and maternal outcomes of twin pregnancies with intrauterine single fetal death. In 13 cases, intrauterine death of one fetus was found during the first trimester; in 25 cases, it was found after the first trimester. Obstetric complications and fibrinogen levels were compared. There were no significant differences in the number of preterm delivery, preeclampsia, and intrauterine growth restriction and there were significant differences in gestational age at delivery and birth weight between groups. Coagulation disorders did not occur. The risk for adverse pregnancy outcomes with a single fetal death during and after the first trimester is similar.
- American Journal of Obstetrics and Gynecology 04/1982; 142(5):595-6. · 4.70 Impact Factor
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ABSTRACT: The antepartum death of a fetus in a multiple gestation can be associated with mortality or major morbidity in the survivor. To evaluate the risk after death of one fetus, all cases of multiple gestation complicated by a fetal death were evaluated. There were 17 multiple gestations in which one fetus died, with 19 surviving infants. The incidence of fetal death in multiple gestation was 2.6%. There was one case of major morbidity in a monochorionic gestation.Obstetrics and Gynecology 06/1989; 73(5 Pt 1):685-9. · 5.18 Impact Factor
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ABSTRACT: To examine the perinatal and maternal outcomes in twin pregnancies when a single intrauterine death occurs. This was a retrospective, observational study. Comparison was made to viable twin pregnancies. Of a total 34,804 live deliveries, 342 were documented as twin births at a gestation of greater than 20 weeks (incidence 0.98%). Of the twin pregnancies over this period, 20 (5.85%) were complicated by a single intrauterine death. There was an increase in the incidence of congenital structural abnormalities among those twins dying in utero as compared to uneventful twin pregnancies (25 versus 0.3%; P < .001). A significant proportion of these twin pregnancies had monochorionic placentas (35 versus 9%; P < .001) and were admitted to special care units (70 versus 5.6%; P < .001) as compared to the normal twin sample. Maternal morbidity has previously been described as being increased. Although there was an increased risk of nonproteinuric and mild pregnancy-induced hypertension, no adverse maternal effects of conservative management were noted in this study. The risk of a single fetal death in twin pregnancies is increased with a monochorionic placenta or a structural abnormality. Conservative management and regular surveillance seem advisable.Obstetrics and Gynecology 07/1994; 84(1):107-9. · 5.18 Impact Factor
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