Prenatal diagnosis of a triplet pregnancy complicated with one acardius in a patient with didelphys uterus using three‐dimensional ultrasound

Chang, Ling; Chang, Cheng-Yen; Chen, Yu; Chang, Feng-Cheng

doi:10.1002/pd.541

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Fetal demise was reported both in utero and early in the neonatal period [9][10][11] . This mortality is mainly related to prematurity, although malformations have been also described [9,10] . Only two term births with delivery of a healthy fetus have been reported; in both cases the living fetus was alone in one of the horns.…”

Section: Discussionmentioning

confidence: 99%

“…Perinatal outcomes reported in triplet pregnancy and didelphys uterus are discouraging. Three previous cases of triplet pregnancy in a didelphys uterus have been published: two of them after ovulation induction and one after gamete intrafallopian transfer [9][10][11] . Fetal demise was reported both in utero and early in the neonatal period [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

“…Three previous cases of triplet pregnancy in a didelphys uterus have been published: two of them after ovulation induction and one after gamete intrafallopian transfer [9][10][11] . Fetal demise was reported both in utero and early in the neonatal period [9][10][11] . This mortality is mainly related to prematurity, although malformations have been also described [9,10] .…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Triplet Pregnancy Complicated by Uterus Didelphys: A Case Report

et al. 2010

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Uterine malformations and spontaneous triplet pregnancy are rare situations separately, and both are related to worse perinatal outcomes. In the 3 cases of combined triplet pregnancy and uterus didelphys previously published, at least 2 of the 3 fetuses died. Morbidity rates are also high. We report the case of a 24-year-old Caucasian woman with a uterus didelphys and two previous caesarean sections who carried a spontaneous triplet pregnancy. To our knowledge, this is the first case of a spontaneous triplet pregnancy in a uterus didelphys ever reported and the only one with uneventful perinatal outcome for all fetuses. Expectant management may be an alternative to embryo reduction to manage triplet pregnancies in a didelphys uterus, especially when this option is not considered. Nevertheless, there is not enough evidence to confirm which is the optimal management strategy, and more studies are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous Triplet Pregnancy Complicated by Uterus Didelphys: A Case Report

et al. 2010

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Current Awareness in prenatal diagnosis

2003

Prenatal Diagnosis

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of prenatal diagnosis. Each bibliography is divided into 17 sections: 1 Books, Reviews & Symposia; 2 General Interest; 3 Normal Fetal Development; 4 Gametogenesis and Pre‐implantation Diagnosis; 5 First Trimester Diagnosis; 6 Second Trimester Diagnosis; 7 Fetal Diagnosis by Ultrasound and Other Imaging; 8 Maternal Screening; 9 Screening for Carriers of Genetic Abnormality; 10 Technological Developments; 11 Confined Placental Mosaicism and Uniparental Disomy; 12 Molecular Cytogenetics; 13 Fetal Cells in Maternal Circulation; 14 Fetal Therapy; 15 Psychosocial Aspects; 16 Epidemiology and Environmental Factors; 17 Developmental Pathology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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Dichorionic Triamniotic Triplet Pregnancy Complicated by Acardius Acormus

et al. 2009

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This report describes an acardiac fetus of the acormus phenotype in a triplet pregnancy. The diagnosis was confirmed at 15 weeks. In the absence of signs of heart failure in the co-fetus the pregnancy was managed conservatively. The pregnancy was complicated by preterm labour and the fetuses were delivered at 26+5 weeks. The prenatal diagnosis of the acormus phenotype with a well-developed cephalic pole is extremely rare and has never been described antenatally in a higher order multiple pregnancy. We suggest that this rare acardiac fetus phenotype may have a different pathophysiology than those of other phenotypes. The report also summarizes the perinatal outcomes of triplet pregnancies complicated by an acardiac fetus, where the median gestational age at delivery is 26–27 weeks, and discusses the possible therapeutic interventions.

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Prenatal diagnosis of a triplet pregnancy complicated with one acardius in a patient with didelphys uterus using three‐dimensional ultrasound

Cited by 3 publications

References 8 publications

Spontaneous Triplet Pregnancy Complicated by Uterus Didelphys: A Case Report

Spontaneous Triplet Pregnancy Complicated by Uterus Didelphys: A Case Report

Current Awareness in prenatal diagnosis

Dichorionic Triamniotic Triplet Pregnancy Complicated by Acardius Acormus

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