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| ArticleTitle | Characteristics of monochorionic-diamniotic growth-retarded twins during the third trimester | 
| AuthorList | Shunji Suzuki 1) , Sayaka Okudaira 1) , Rintaro Sawa 1) , Yoshio Yoneyama 1) , Hirobumi Asakura 1) , Sumio Shin 2) , Kazuhiko Kaneko 2) and Tsutomu Araki 1) | 
| Affiliation | 1) Department of Obstetrics and Gynecology, Nippon Medical School 2) Department of Obstetrics and Gynecology, Katsushika Red Cross Maternity Hospital | 
| Language | EN | 
| Volume | 66 | 
| Issue | 5 | 
| Year | 1999 | 
| Page | 300-304 | 
| Received | June 28, 1999 | 
| Accepted | August 9, 1999 | 
| Keywords | growth retardation, monochorionic-diamniotic twin pregnancy, twin-twin transfusion syndrome, growth pattern, polyhydramnios | 
| Abstract | The goal of this study was to assess the characteristics of monochorionic-diamniotic (MD) growth-retarded twin infants with twin-twin transfusion syndrome (TTTS) compared with those without TTTS during the third trimester. Retrospective analyses of the growth patterns and amniotic fluid volumes were performed on 5 MD twin pregnancies in which one or both twins showed growth retardation with TTTS, and the results weve compared with those without TTTS. Eighty-three percent of growth-retarded twin infants without TTTS in MD twin gestation showed an asymmetric growth pattern, while all TTTS cases showed a symmetric pattern (p < 0.05). Polyhydramnios of the co-twin was found in 80%of TTTS cases, while no polyhydramnios was found in patients without TTTS (p < 0.05). Assessment of growth patterns and amniotic fluid volume may be useful to exclude the possibility of TTTS in MD growth-retarded twin pregnancies during the third trimester. | 
| Correspondence to | Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan | 
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