The prediction, diagnosis and management of complications in monochorionic twin pregnancies: the OMMIT (Optimal Management of Monochorionic Twins) study

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The prediction, diagnosis and management of complications in monochorionic twin pregnancies: the OMMIT (Optimal Management of Monochorionic Twins) study

BACKGROUND Monochorionic twin pregnancies are at increased risk of complications due to sharing a single placenta and potentially developing unbalanced vascular anastomoses. Complications include twin-twin transfusion syndrome (TTTS) which affects 10-15% monochorionic twins, and if untreated has a 70-90% perinatal loss rate. We are currently unable to predict which twins will develop complicati...

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A systematic approach to the differential diagnosis and management of the complications of monochorionic twin pregnancies.

Monochorionic (MC) twins represent a significant proportion of perinatal morbidity and mortality. Overall, 1 of 3 MC twin pregnancies will develop complications in relation to the MC placenta and the presence of interfetal placental anastomoses. From a clinical standpoint, these complications can be grouped into four main types of clinical problems: chronic transfusion, acute transfusion, growt...

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Management of Monochorionic Twin Pregnancy

A monochorionic twin pregnancy is one in which both babies are dependent on a single, shared placenta. Around one-third of twin pregnancies in the UK have monochorionic placentas. Monochorionic placentation can also occur in higher-order multiples. There has been a recent increase in all types of multiple pregnancies with the increasing use of assisted reproductive techniques. Monochorionic (MC...

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Management of Monochorionic Twin Pregnancy

A monochorionic twin pregnancy is one in which both babies are dependent on a single, shared placenta. Around one-third of twin pregnancies in the UK have monochorionic placentas. Monochorionic placentation can also occur in higher-order multiples. There has been a recent increase in all types of multiple pregnancies with the increasing use of assisted reproductive techniques. Monochorionic (MC...

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Inter-twin membrane folding in monochorionic pregnancies.

This study examines the value of assessing inter-twin membrane folding in monochorionic twin pregnancies in the prediction of twin-to-twin transfusion syndrome. In 83 monochorionic twin pregnancies ultrasound scans were carried out at 10-14, 15-17 and 19-21 weeks to investigate folding of the inter-twin membrane as an early sonographic feature of inter-twin discrepancy in amniotic fluid volume....

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ژورنال

عنوان ژورنال: BMC Pregnancy and Childbirth

سال: 2017

ISSN: 1471-2393

DOI: 10.1186/s12884-017-1335-3