Ultrasound predictors of mortality in monochorionic twins with selective intrauterine growth restriction

Ishii, Keisuke; Murakoshi, Takeshi; Hayashi, Satoshi; Saito, Mari; Sago, Haruhiko; Takahashi, Yuichiro; Sumie, Masahiro; Nakata, Masahiko; Matsushita, Munehiro; Shinno, T.; Naruse, H.; Torii, Y.

doi:10.1002/uog.8846

Cited by 61 publications

(67 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All three IUD cases (2 cases of sIUGR and 1 case of nsIUGR) reported herein were associated with UA Doppler velocimetry type II (REDF). Our data agree with those by Ishi et al, 16 who reported a higher risk for IUD and ND in IUGR cases with persistent AREDF. No difference was found between the study groups in relation to IUD or ND.…”

Section: Discussionsupporting

confidence: 93%

“…The gestational age at delivery in sIUGR reported by previous studies 16 was lower (32 weeks) compared to the present study (33.36 weeks), showing that less severe cases were included in our study owing to late referral of such cases to a tertiary center. Probably, several of the severe cases had died in utero before reaching our center.…”

Section: Discussioncontrasting

confidence: 80%

“…On the other hand, type I UA pattern was more Our results were similar to those by Ishi et al 16 who observed a higher risk of death in cases below the 3 rd centile of the normal curve for singleton pregnancies, but instead, we chose to use a specific twin curve in order to identify the most severe cases. 8 It was thus possible to observe, in the sIUGR group, a higher rate of neonatal morbidity and of severe UA Doppler velocimetry patterns, perhaps due to the greater seriousness of placental dysfunction as characterized by UA Doppler velocimetry (AREDF and iAREDF pattern -types II and III according to categorization by Gratacos et al).…”

Section: Discussionsupporting

confidence: 79%

“…Therefore, we present a small number of cases as compared to multicenter studies. 5,13,16 However, we found significant association of sIUGR with mechanical ventilation and orotracheal intubation (0.97 and 0.94 , respectively).…”

Section: Discussionmentioning

confidence: 70%

See 3 more Smart Citations

Intrauterine growth restriction in monochorionic-diamniotic twins

Machado

Brizot

Miyadahira

et al. 2014

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

IntrauterIne growth restrIctIon In monochorIonIc-dIamnIotIc twIns rev assoc med Bras 2014; 60(6):585-590 585Original articleIntrauterine growth restriction in monochorionic-diamniotic twins Conflict of interest: noneObjective: to evaluate neonatal morbidity and mortality in monochorionic--diamniotic (MCDA) twin pregnancies complicated by selective intrauterine growth restriction (sIUGR) and non-selective intrauterine growth resctriction (nsIUGR). Methods: neonatal morbidity parameters and mortality were analyzed in 34 twins with IUGR (< 10 th percentile on twins' growth charts): 18 with sIUGR and 16 with nsIUGR. The sIUGR group was made up of 18 pregnancies in which growth was restricted in only one fetus (n = 18). The nsIUGR group was composed of 8 pregnancies in which both fetuses presented restricted growth (n = 16).Cases of twin-to-twin transfusion syndrome and fetal malformation were not included in the study. Results: the MCDA twin pregnancies with sIUGR had a higher rate of orotracheal intubation (p = 0.001) and mechanical ventilation (p = 0.0006), as well as longer than average fasting time (p = 0.014) compared to those in which the fetuses had nsIUGR. A higher incidence was also observed of types II and III umbilical artery Doppler velocimetry patterns in the sIUGR cases (p = 0.002). There was no significant difference between the two groups as to mortality during pregnancy and the neonatal period (p = 0.09). Conclusion: in MCDA twin pregnancies, sIUGR presents more severe umbilical artery Doppler velocimetry abnormalities and worse morbidity than nsIUGR.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 80%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 70%

See 2 more Smart Citations

Intrauterine growth restriction in monochorionic-diamniotic twins

Machado

Brizot

Miyadahira

et al. 2014

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…Селективная задержка внутриутробного роста плода (СЗВРП) встречается примерно в 9,9% наблюдений моно-хориальных близнецов [14,17,18].…”

Section: таблица 1 исходы малоинвазивной лазерной коагуляции сосудовunclassified

Selective feticide in complicated monochorionic twin or dichorionic triplet pregnancies applying laser coagulation of umbilical cord vessels

Kosovtsova¹,

Башмакова²,

Маркова³

et al. 2016

Ross. vestn. akush.-ginekol.

View full text Add to dashboard Cite

Natural evolution and risk factors for adverse outcome in selective intrauterine growth restriction under expectant management: A retrospective observational study

Chen

Zhou

Zhang

et al. 2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Selective intrauterine growth restriction (sIUGR) accounts for approximately 10%-15% of monochorionic diamniotic (MCDA) twins and is one of the most severe complications. 1 Selective IUGR is associated with increased perinatal mortality rate, poor neurological outcome, and higher incidence of endocrine and metabolic diseases, as well as cardiovascular dysfunction in adulthood. 2 The pathogeneses of sIUGR rely not only on the presence of gross placental structure factors, such as abnormal placental sharing and aberrant cord insertion, but also on the magnitude and direction of blood-flow interchange through the placental anastomoses. 3 The umbilical artery (UA) Doppler flow pattern of the smaller twin has been used for classifying

show abstract

Ultrasound predictors of mortality in monochorionic twins with selective intrauterine growth restriction

Abstract: Objectives The aim of this study was to evaluate the use of ultrasound assessment to predict risk of mortality in expectantly managed monochorionic twin fetuses with selective intrauterine growth restriction (sIUGR). Methods

Cited by 61 publications

References 21 publications

Intrauterine growth restriction in monochorionic-diamniotic twins

Intrauterine growth restriction in monochorionic-diamniotic twins

Selective feticide in complicated monochorionic twin or dichorionic triplet pregnancies applying laser coagulation of umbilical cord vessels

Natural evolution and risk factors for adverse outcome in selective intrauterine growth restriction under expectant management: A retrospective observational study

Contact Info

Product

Resources

About