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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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