Twin pregnancies

Ochsenbein‐Kölble, Nicole

doi:10.1055/a-1344-4812

Cited by 5 publications

(3 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Zwillingsschwangere tragen im Vergleich zu Einlingsschwangeren ein höheres Risikopotenzial. Dies betrifft sowohl die Schwangerschaft als auch die Geburt: Nahezu alle bekannten Schwangerschafts- und Geburtsrisiken, mit Ausnahme der Übertragung und der Makrosomie, sind bei Zwillingsschwangeren erhöht 1 . Das Wissen um potenzielle Risiken darf jedoch nicht zu einer Verunsicherung der Schwangeren führen: Werden Risiken ausgeschlossen oder frühzeitig erkannt, verläuft die Mehrzahl der Schwangerschaften normal 2 .…”

Section: Hintergrundunclassified

Leitung einer vaginalen Geminigeburt

Grab¹,

Günther²,

Münz³

et al. 2022

Hebamme

View full text Add to dashboard Cite

Geeignete Infrastruktur und regelmäßiges interprofessionelles Training ermöglichen einer Mehrzahl von Zwillingsschwangeren, völlig interventionsfrei vaginal zu gebären. Dabei sind das Wissen um die Bedeutung der Chorionizität für die Risikoeinstufung, die Beachtung von Ausschlussfaktoren, das rechtzeitige Umsteigen auf eine sekundäre Sectio bei pathologischen Geburtsverläufen und die Beherrschung der klassischen vaginal-operativen Verfahren einschließlich der Handgriffe zur Entwicklung des nachfolgenden Zwillings die entscheidenden Schlüssel zum Erfolg.

show abstract

Section: Hintergrundunclassified

Leitung einer vaginalen Geminigeburt

Grab¹,

Günther²,

Münz³

et al. 2022

Hebamme

View full text Add to dashboard Cite

show abstract

“…Надалі для пошуку можливих структурних аномалій плодів усім вагітним з БВ має бути проведено УЗД у терміні 20 тиж + 0 днів -20 тиж + 6 днів. При БВ структурні аномалії плода (особливо вади серця) виникають частіше, ніж при одноплідній вагітності [32,88].…”

Section: акушерские и перинатальные аспекты многоплодной беременности вг сюсюка ад кирилюк ев бабинчук ню богуславская ои бачурина еа ершunclassified

Obstetric and perinatal aspects of multiple pregnancy

Syusyuka

Kyryliuk

Babinchuk

et al. 2021

RHW

View full text Add to dashboard Cite

The article presents epidemiological data, modern terminology, features of the course of gestation, as well as obstetric and perinatal outcomes of childbirth in women with multiple pregnancy. The relevance of study this problem is due to the fact that the course of multiple pregnancy in almost all patients is accompanied by various complications, and their prognosis and prevention are of paramount importance. Despite the attention paid to multiple pregnancy, the complication rate remains high. Their treatment should be carried out in III level of perinatal care facilities. Attention is focused on the features of childbirth of pregnant women in accordance with the procedure for providing medical care to women with multiple pregnancies. An important issue remains to determine the time and tactic of delivery in multiple pregnancy. The choice of childbirth method depends on the obstetric anamnesis, gestational age, position and presentation of fetuses, estimated weight and size of fetuses, chorionicity, fetal and maternal condition, and the presence/absence of indications for caesarean section also matters. The optimal delivery time for uncomplicated twins is 37 weeks of pregnancy (monochorionic diamniotic twins — 36–37 weeks, dichorionic — 37–38 weeks), since in this period of pregnancy, the risks of antenatal fetal death and early neonatal death are minimal. Delivery of women with monochorionic monoamniotic twins is performed at the full 32 weeks of pregnancy by caesarean section. Among other indications for caesarean section are triplets and a larger number of fetuses, as well as conjoined twins, transverse or breech presentation of the first fetus, twins in combination with a scar on the uterus, an unsuccessful attempt of external-internal rotation of the second fetus in a transverse position after the birth of the first fetus, and others. An analysis of domestic and foreign publications was carried out in the article, which indicates the need for in-depth research in this direction, namely the elucidation of new pathogenetic links in multiple pregnancies, depending on the type of placentation, the search for new ways of management and the development of diagnostic criteria for the childbirth of this contingent of women.

show abstract

“…Twin pregnancies account for approximately 2 to 3% of all pregnancies and are often considered high-risk pregnancies warranting specialized care. 1 They are classified into dichorionic (DC) diamniotic, monochorionic (MC) monoamniotic, and MC diamniotic. Depending on the fetus affected, discordance can be concordant (both twins affected) or discordant (only one).…”

Section: Introductionmentioning

confidence: 99%

Outcome of Twins Discordant for Major Anomalies

Bhutia,

Kolar,

Kavuri

et al. 2024

Journal of Fetal Medicine

View full text Add to dashboard Cite

Objectives This article determines the incidence, management, and outcomes of twins discordant for major structural anomalies. Materials and Methods A retrospective observational study was conducted from 2011 to 2021. Pregnant women discordant for major malformations as confirmed postnatally were included in the study. Demographic and clinical details were collected from medical records. Determining the incidence and profile of twins discordant for major structural anomalies and their management and outcomes were considered as primary objectives that were detailed in dichorionic (DC) and monochorionic (MC) twin pregnancies. Results A total of 83 subjects were included, with an incidence of 1.76% in DC pregnancies and 1.4% in MC pregnancies. Major structural anomalies among DC twins were musculoskeletal (26%), followed by circulatory system anomalies (20.2%), while among MC twins, the majority were found to be central nervous system anomalies (35.7%). Gastrointestinal system anomalies were found the least, with 5.8% in DC anomalous twins, and none were observed in MC anomalous twins. Live birth rate among anomalous twins was found to be 79.71 and 64.29%, and in normal cotwins, it was 92.75 and 85.71% in DC and MC twins, respectively. Surviving anomalous twins underwent postnatal surgery or intervention in 25/69 (36.2%) DC twins, out of which 20 infants were alive and healthy. In the MC anomalous twin group, 3/14 (21.42%) underwent surgical correction; all were alive and well. Postnatally, babies were followed up until 2 years of life. The survival rate for anomalous twins was 47.82% in DC and 35.7% in MC twins. Normal cotwins had overall favorable outcomes, with a survival rate of 89.8 and 85.7% in DC and MC twins, respectively. Conclusion In DC twins discordant for major anomalies, expectant management is a safe option.

show abstract

Twin pregnancies

Cited by 5 publications

References 34 publications

Leitung einer vaginalen Geminigeburt

Leitung einer vaginalen Geminigeburt

Obstetric and perinatal aspects of multiple pregnancy

Outcome of Twins Discordant for Major Anomalies

Contact Info

Product

Resources

About