Perinatal outcomes of single fetal survivor after fetal intervention for complicated monochorionic twins.
Prenat Diagn
; 38(7): 511-516, 2018 06.
Article
em En
| MEDLINE
| ID: mdl-29740832
ABSTRACT
OBJECTIVE:
To compare perinatal outcomes between acute single fetal demise following fetoscopic laser photocoagulation to planned selective reduction (SR) in complicated monochorionic twin pregnancies.METHODS:
This was a secondary analysis of prospectively collected data in complicated monochorionic twin pregnancies from 2 fetal centers from 2011 to 2016. Group 1 included women undergoing fetoscopic laser photocoagulation for twin-twin transfusion syndrome (TTTS) who experienced a single fetal demise within 24 hours of the procedure. Group 2 consisted of women undergoing planned selective reduction (SR) with TTTS, and Group 3 SR for indications other than TTTS.RESULTS:
Survival of the remaining co-twin at birth was highest in Group 1 (n = 77 patients; 95%) compared with that in Group 2 (n = 15; 80%) and Group 3 (n = 32; 78%; P = .047). The preterm premature rupture of membrane rate was higher in Group 1 (47%) compared with that in Group 2 (33%) and Group 3 (7%; P < .001). Group 1 had a lower gestational age at delivery and shorter procedure-to-delivery interval compared with the other 2 groups (P < .01).CONCLUSION:
When single fetal demise occurs following fetoscopic laser photocoagulation, the surviving co-twin is more likely to survive to delivery but has higher PPROM rates and a shorter latency period compared with planned selective reduction for TTTS or other indications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fotocoagulação a Laser
/
Redução de Gravidez Multifetal
/
Morte Fetal
/
Transfusão Feto-Fetal
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Prenat Diagn
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos