Prognostic Analysis of Posterior Delivery in Single Intrauterine Fetal Demise / 实用妇产科杂志

ABSTRACT

Objective:To analyze the prognosis of twin intrauterine fetal death intrauterine surgery(SIUFD),and to investigate the pregnanct outcomes of SIUFD after different gestational weeks and chorionic twins,and to improve the monitoring and management of SIUFD.Methods:Data from January 1,2013 to December 31,2015 in Beijing Obstetrics and Gynecology Hospital of SIUFD delivered 37 cases(excluding twin transfusion syndrome,11 cases)were retrospectively analyzed,including the incidence of SIUFD gestational weeks,save work time to look for the cause of death,different gestational weeks and chorionic deposit work the prognosis,followed up neonatal growth by telephone.Results:The time of occurrence of SIUFD in this 37 cases of early pregnancy was common,accounted for 64.86％ (24/37);The period of expectant treatment after SIUFD was 1 day(the shortest),231 days(the longest),and 116 days (average);among the death-caused factors,umbilical cord and placenta abnormality accounted for 32.43％ (12/37) and fetal malformation accounted for 8.11％ (3/37);the survival of premature fetus(gestational age less than 37 weeks) were 9 cases,of which a minimum of 32 weeks of gestation,28 cases of full-term birth;premature birth,neonatal asphyxia,emergency caesarean section,pregnancy complications in monochorionic twins were significantly higher than those of in dichorionic twins;SIUFD gestational weeks ＞13 weeks survival fetal premature delivery,neonatal asphyxia,emergency cesarean section rate of less than≤13 weeks more than SIUFD.Conclusions:After SIUFD and survival fetal incidence of fetal gestational weeks and chorionicity,although not yet the study found that SIUFD occurred after the adverse neurological sequelae of child survival than dichorionic diamniotic twins higher in monchorionic twin dichorionic twinw,but still need long-term follow-up.