Twin Pregnancies with One Fetal Demise / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1630-1637, 1997.
Article
in Korean
| WPRIM
| ID: wpr-208191
ABSTRACT
OBJECTIVE:
To evaluate the maternal complications and perinatal outcomes in twin pre-gnancies with one fetal demise PATIENTS From January 1990 to December 1996, 20 twin pregnancies with single fetal death were observed in Seoul National University Hospital in 6 cases(group 1) between 20 ~26 weeks and in 14 cases(group 2) after 26 weeks gestation by gestational age of fetal death ; in 7 cases of monochorionic and in 13 cases of dichorionic placentation.RESULTS:
The incidence of one fetal death was 5.4% in twin pregnancy. Diagnosis-to- delivery interval of group 1 was longer than group 2(61.0 days 8.9 days). So it was thou- ght that the gestational age of delivery in group 1 was not always earlier than in group 2. And other parameters(chorionicity, preterm delivery, cesarean section, coagulopathy, IUGR, perinatal mortality, neurologic sequelae, IVH) didn't show the statistical differences between group 1 and group 2. According to chorionicity, it seemed that the perinatal mortality rate of monochorionic group was higher than dichorionic(86% 62%) and that cesarean section rate was higher in dichorionic group(54% 14%). But there were no statistical significances between two gruops. All other parameters also didn't show differences statistically.CONCLUSION:
We fail to demonstrate that monochorionic placentation is associated with increased risks for the survivor in twin pregnancies of single fetal demise. It may be part- ially explained due to small numbers of cases in this study.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Placentation
/
Cesarean Section
/
Incidence
/
Chorion
/
Gestational Age
/
Survivors
/
Perinatal Mortality
/
Fetal Death
/
Fetal Growth Retardation
/
Pregnancy, Twin
Type of study:
Incidence study
/
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
1997
Type:
Article
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