The management of acardiac twins: a conservative approach.
Am J Obstet Gynecol
; 189(5): 1310-3, 2003 Nov.
Article
em En
| MEDLINE
| ID: mdl-14634560
ABSTRACT
OBJECTIVE:
Optimal management of acardiac twin pregnancies is controversial. Data suggest a 50% mortality rate in the "pump" twin when the pregnancy is managed expectantly. Because of increased antenatal diagnosis, outcomes in expectantly managed cases may be better than reported. Our objective was to determine the outcome of expectantly managed acardiac twin pregnancies. STUDYDESIGN:
All cases of antenatally diagnosed acardiac twins delivered in our community between 1994 and 2001 were ascertained. All were managed expectantly. Perinatal outcome of pump twins was the primary outcome variable.RESULTS:
Ten cases were identified. Nine women were delivered of healthy pump twins. There was one neonatal death. The mean gestational age at delivery was 34.2 weeks. The mean weights of the pump and acardiac twins were 2279 g and 1372 g, respectively.CONCLUSION:
Neonatal mortality of pump twins in antenatally diagnosed acardiac twin pregnancies may be considerably less than reported. Expectant management with close antepartum surveillance deserves consideration.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gravidez Múltipla
/
Gêmeos
/
Doenças em Gêmeos
/
Cardiopatias Congênitas
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article