Monochorionic diamniotic twins with centrally located and closely spaced umbilical cord insertions in the placenta

Imamura, Takashi; Maeda, Hajime; Kinoshita, Hidetoshi; Kin, Shogo

doi:10.1002/ccr3.1332

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multifetal pregnancies are at a higher risk of preterm labor, uteroplacental abnormalities, and other antenatal complications that are associated with poor fetal outcomes [11][12][13]. Monochorionic twins are more likely to develop insufficient vascular anastomoses that may result in unbalanced inter-twin blood flow and eventual IVH, yet, dichorionic twins are still at risk due to cerebral vascular immaturity at birth [14][15][16][17]. In the absence of maternal complications during pregnancy, perinatal fetal IVH is frequently attributed to disturbances in cerebral blood flow and germinal matrix fragility leading to hemodynamic instability and hemorrhage during childbirth [18,19].…”

Section: Introductionmentioning

confidence: 99%

Intraventricular Hemorrhage in a Single Fetus of Dichorionic-Diamniotic Gestation: A Case Report and Review of Literature

Shelton

Yasmeh

Yang

2020

Journal of Fetal Medicine

View full text Add to dashboard Cite

Intraventricular hemorrhage (IVH) is a serious complication of prematurity and is of high concern due to the risk of brain injury and in severe cases, death. We report the first case of IVH in a fetus of dichorionic-diamniotic pregnancy that worsened postnatally. Antenatally, magnetic resonance imaging confirmed a large IVH after ventricular abnormalities were detected by prenatal ultrasound (US). At birth, a grade IV IVH diagnosis was made and progressive ventricle dilatation was noted on weekly US. A ventriculoperitoneal shunt was placed and ventricle dilatation was slightly reduced, however, the IVH was essentially unchanged. The infant was discharged in stable condition at 12-weeks-old and chronic neurological dysfunction is expected. IVH is seen in complicated births of prematurity and antenatal US can inform an examiner if fetal IVH is present. It is important to identify IVH and provide immediate intervention to prevent disease worsening during the antenatal and postnatal period.

show abstract