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Titolo:
UMBILICAL ARTERY NOTCHING IN CORD COMPRES SION IN MONOAMNIOTIC TWINS
Autore:
ENTEZAMI M; RAGOSCH V; HOPP H; WEITZEL HK; RUNKEL S;
Indirizzi:
FREE UNIV BERLIN,KLINIKUM BENJAMIN FRANKLIN,FRAUENKLIN,HINDENBURGDAMM30 D-12200 BERLIN GERMANY
Titolo Testata:
Ultraschall in der Medizin
fascicolo: 6, volume: 18, anno: 1997,
pagine: 277 - 279
SICI:
0172-4614(1997)18:6<277:UANICC>2.0.ZU;2-U
Fonte:
ISI
Lingua:
GER
Soggetto:
MANAGEMENT; ENTANGLEMENT; PREGNANCIES; DIAGNOSIS;
Keywords:
MONOAMNIOTIC TWINS; SURVEILLANCE; UMBILICAL ARTERY DOPPLER; NOTCH;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
M. Entezami et al., "UMBILICAL ARTERY NOTCHING IN CORD COMPRES SION IN MONOAMNIOTIC TWINS", Ultraschall in der Medizin, 18(6), 1997, pp. 277-279

Abstract

Monoamniotic twins have a mortality Fate of up to 50%, mainly due to umbilical cord accidents, e.g. true knots. Because of the rarity of monoamniotic twin gestation, few data are presently available on the optimal management of these gestations. Some authors recommend delivery at 32 weeks of gestation, while others state that the risk of cord accidents declines with advancing gestational age, thus questioning the usefulness of routine delivery at 32 weeks. It is possible nowadays to obtain an impression of the fetal blood supply by Doppler sonography. In our case, Doppler sonographic evaluation showed a notch in the umbilical artery in the twin, who later developed a pathological CTG requiring delivery at 28 weeks of gestation. Both fetuses are liveborn and developed normally. Our case shows that a notch in the umbilical arterycould be an indication of umbilical cord compression and that attention should be paid to it in monoamniotic twin gestation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 01:46:58