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Titolo:
Adverse perinatal outcome of twin pregnancies according to chorionicity: Review of the literature
Autore:
Sherer, DM;
Indirizzi:
Columbia Univ Coll Phys & Surg, St Lukes Roosevelt Hosp Ctr, Dept Obstet &Gynecol, Div Maternal Fetal Med, New York, NY 10019 USA Columbia Univ Coll Phys & Surg New York NY USA 10019 w York, NY 10019 USA
Titolo Testata:
AMERICAN JOURNAL OF PERINATOLOGY
fascicolo: 1, volume: 18, anno: 2001,
pagine: 23 - 37
SICI:
0735-1631(2001)18:1<23:APOOTP>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
SINGLE INTRAUTERINE DEATH; MULTIPLE GESTATION; FIRST-TRIMESTER; BIRTH-WEIGHT; PLACENTAL CHORIONICITY; FETAL GROWTH; MULTIFETAL PREGNANCIES; ANTEPARTUM MANAGEMENT; DICHORIONIC PREGNANCY; VASCULAR ANASTOMOSES;
Keywords:
twin gestations; antenatal testing; perinatal outcome; chorionicity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
99
Recensione:
Indirizzi per estratti:
Indirizzo: Sherer, DM Columbia Univ Coll Phys & Surg, St Lukes Roosevelt Hosp Ctr, Dept Obstet &Gynecol, Div Maternal Fetal Med, 1000 10th Ave,Suite 10C, New York, NY 10019 USA Columbia Univ Coll Phys & Surg 1000 10th Ave,Suite 10C NewYork NY USA 10019
Citazione:
D.M. Sherer, "Adverse perinatal outcome of twin pregnancies according to chorionicity: Review of the literature", AM J PERIN, 18(1), 2001, pp. 23-37

Abstract

Twin gestations are at significant increased risk for adverse perinatal outcome. As a result, although prospective randomized data is lacking, increased fetal surveillance has been advocated for twins. Growth concordance is considered a reassuring sign in twins and conversely, discordancy to possibly reflect a hostile intrauterine environment at least to the smaller twin. Consequently, increased surveillance of discordant twins is commonly practiced. Monochorionic twins are at further risk for type-specific perinatal complications, for example, twin-twin transfusion syndrome. Recently, precise first-trimester depiction of chorionicity has enabled early antepartum stratification of twin gestations according to chorionicity, in comparison with previous later (mid- and third-trimester) ultrasonographic diagnosis of chorionicity. This immediately leads to the question whether antenatal testing of twins should differ according to chorionicity? Review of the literature supports that despite the existence of complications unique to monochorionic twin gestations, dichorionic twins sustain an increased risk of adverse perinatal outcome (such as fetal growth restriction) in comparison with singletons, and that close antenatal fetal surveillance of twins should be performed, irrespective of chorionicity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 00:50:13