دورية
Delivery of Monochorionic Twins in the Absence of Complications
العنوان: | Delivery of Monochorionic Twins in the Absence of Complications |
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المؤلفون: | Sullivan, Amy Elizabeth, Hopkins, Paul Nathan, Weng, Hsin-Yi, Henry, Erick, Lo, Jamie Oi-Ting, Varner, Michael Walter, Esplin, Michael Sean |
المصدر: | Obstetrical and Gynecological Survey; July 2012, Vol. 67 Issue: 7 p402-403, 2p |
مستخلص: | Monochorionicity is associated with increased adverse perinatal outcomes when compared with dichorionicity. The rate of prematurity in monochorionic twins is also higher and contributes to perinatal complications. Many obstetricians recommend elective preterm delivery in monochorionic twin pregnancies to avoid stillbirth and other perinatal complications. However, other obstetricians disagree, and it remains unclear whether uncomplicated monochorionic twin pregnancies should be delivered preterm. The authors of the present study hypothesize that the risk of prematurity associated with elective delivery at less than 37 weeks of gestation among monochorionic-diamnionic (MCDA) twins is greater than the risk of stillbirth. If so, elective preterm delivery of MCDA twins without medical indications for delivery is not warranted. |
قاعدة البيانات: | Supplemental Index |
تدمد: | 00297828 15339866 |
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DOI: | 10.1097/01.ogx.0000418571.21773.94 |