کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8784326 1600937 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Selective intrauterine growth restriction in monochorionic diamniotic twin pregnancies
ترجمه فارسی عنوان
محدودیت رشد انتخابی داخل رحمی در حاملگی دوقطبی متولد شده
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی
Selective intrauterine growth restriction (sIUGR) affects 10-15% of all monochorionic pregnancies. Early severe forms are associated with intrauterine demise or neurological adverse outcome for both twins. The characteristics of umbilical artery (UA) Doppler in the IUGR fetus determine three clinical types: (I) normal UA Doppler and associated with good prognosis; (II) persistently absent/reverse UA end-diastolic flow and associated with early deterioration of the IUGR twin and very preterm delivery; (III) intermittently absent/reverse end-diastolic flow in the UA, and associated with unexpected fetal demise or neurological injury in one or both twins. Types II and III pose important challenges for management. Placental laser or cord occlusions do not seem to increase survival, but they might improve the outcomes of the larger twin. The use of an algorithm with severity criteria may help in counseling and planning management.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Fetal and Neonatal Medicine - Volume 22, Issue 6, December 2017, Pages 376-382
نویسندگان
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