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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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