INTRODUCTION Twin reversed arterial perfusion (TRAP) sequence is a rare complication of multiple pregnancy caused by defects in early embryogenesis. The pump twin supplies the acardiac recipient twin with blood, and although the pump twin is usually structurally normal, congenital anomalies have sometimes been reported. We report a unique case of twin reversed arterial perfusion sequence with a...

OBJECTIVES To evaluate maternal and neonatal complications and pregnancy outcomes of twin pregnancies. MATERIAL AND METHOD The retrospective analysis included data on the twin pregnancies delivered at Ramathibodi Hospital between January 1995 and December 2000. The data retrieved from the medical records included demographic data, complications of pregnancy, and maternal and neonatal outcomes...

Risk of chromosomal and structural anomalies are increased in twin pregnancies with potential loss of one fetus. Single fetal death in twin pregnancies is believed to be associated with increased risk of perinatal morbidity and mortality for the surviving twin and risk of coagulopathy affecting the mother. In this report we present a case of twin gestation with one of the fetuses having Turner ...

A prospective study of 54 primigravid twin pregnancies in Durban showed that pregnancy-induced hypertension occurred in 37%. This was more than twice the expected rate for singleton pregnancies in this Black African population. The babies born in the group of patients with pregnancy-induced hypertension were significantly lighter and had a higher rate of fetal growth retardation than the babies...

Acardia twin is a rare, unique complication of monochorionic pregnancy. A 2.6% incidence among twins has been cited. In such complications with abnormal or non-functional heart perfused by its co-twin via placental arterial anastomosis. The acardia poorly developed and upper torso. We present case in which the fetal demise one fetus pregnancy diagnosed first trimester, but patient wishes to con...

BACKGROUND There is a growing body of literature exploring the emotional impact of perinatal loss upon parents but only limited research focussing specifically on the views and experiences of parents who have experienced a loss from a twin or higher order pregnancy. We undertook a qualitative study to provide an in-depth understanding of the experiences of mothers who have had a loss from a twi...

Human cytomegalovirus (CMV) is the most common cause of viral intrauterine infection and fetal damage largely attributable to maternal primary infection. Most cases of congenital CMV infection in twins reported in the literature involved only 1 twin. We assessed the validity of polymerase chain reaction (PCR) and quantitative PCR on amniotic fluid (AF), at 21 to 22 weeks' gestation and at least...

OBJECTIVE To study PAPP-A and SP1 for biochemical trisomy screening in twin pregnancies and to investigate the role of maternal and placental compartments in marker production by comparing the levels of the decidual cytokine M-CSF with the PAPP-A and SP1 from the placenta. METHODS Thirteen twin pregnancies with at least one chromosomally abnormal fetus were compared with 68 normal twin pregna...