Twin-twin transfusion syndrome treated with serial amniocenteses.

https://arctichealth.org/en/permalink/ahliterature58298
Source
Acta Obstet Gynecol Scand. 2004 Apr;83(4):326-9
Publication Type
Article
Date
Apr-2004
Author
Synnøve Lian Johnsen
Susanne Albrechtsen
Jouko Pirhonen
Author Affiliation
Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway. Synnove.johnson@helse-bergen.no
Source
Acta Obstet Gynecol Scand. 2004 Apr;83(4):326-9
Date
Apr-2004
Language
English
Publication Type
Article
Keywords
Adult
Amniocentesis
Female
Fetofetal Transfusion - mortality - surgery
Gestational Age
Humans
Infant, Newborn
Male
Norway - epidemiology
Pregnancy
Pregnancy outcome
Retrospective Studies
Twins, Monozygotic
Abstract
BACKGROUND: To evaluate the treatment and neonatal outcome in pregnancies complicated by twin-twin transfusion syndrome (TTS). MATERIAL AND METHODS: Twenty-four women with TTS were identified in the period 1993-99 among 34477 deliveries. We include a retrospective chart review of all twins with TTS. RESULTS: The overall incidence of TTS was 4.75% of all twin pregnancies. The mean gestational age at the time of diagnosing TTS was 23 weeks (range 17.6-38), and the mean gestational age at delivery was 34.6 weeks (range 23.1-38.3). Therapeutic amniocenteses was performed in 21 women. The total volume drained varied from 0.4 to 32.31 with a mean of 2.3 l. Overall perinatal mortality in TTS was 35.4%, as nine donor twins and eight recipient twins died. The main causes for mortality were intrauterine death and prematurity. CONCLUSION: Twin-twin transfusion syndrome is a severe complication in monochorionic diamniotic twin pregnancies, with high perinatal mortality and morbidity even though amnioreduction prolonged the pregnancies leading to better neonatal outcome.
PubMed ID
15005777 View in PubMed
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