Prospective risk of intrauterine death of monochorionic-diamniotic twins - 18/08/11
Reprint requests: Isaac Blickstein, MD, Department of Obstetrics and Gynecology, Kaplan Medical Center, 76100 Rehovot, Israel.Abstract |
Objective |
The purpose of this study was to calculate the prospective risk of fetal death in monochorionic-diamniotic twins.
Study design |
We evaluated 193 monochorionic diamniotic twin pregnancies that were followed and delivered after 24 weeks. Surveillance included cardiotocography and sonography performed at least once weekly. The prospective risk of fetal death was calculated as the total number of deaths at the beginning of the gestational period divided by the number of continuing pregnancies at or beyond that period.
Results |
The fetal death rate was 5 of 193 pregnancies (2.6%; 95% CI, 1.1, 5.9); the prospective risk of stillbirth per pregnancy after 32 weeks of gestation was 1.2% (95% CI, 0.3% - 4.2%).
Conclusion |
Under intensive surveillance, the prospective risk of fetal death in monochorionic-diamniotic pregnancies after 32 weeks of gestation is much lower than reported and does not support a policy of elective preterm delivery.
Le texte complet de cet article est disponible en PDF.Key words : Monochorionic twins, Intrauterine death, Twin-twin transfusion, Antenatal assessment
Plan
Vol 195 - N° 1
P. 134-139 - juillet 2006 Retour au numéro
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