Untreated twin-twin transfusion syndrome (TTTS) is associated with significant mortality and neurological impairment. Fetoscopic laser surgery (FLS) is the treatment of choice. We sought to assess intracranial abnormalities in TTTS twins following treatment. In this prospective, blinded study MRI scans were performed on 3 groups; (1) monochorionic diamniotic (MCDA) twins with TTTS who had under...

PURPOSE to evaluate the evolution of monochorionic-diamniotic twin pregnancies with and without the twin-twin transfusion syndrome (TTTS), followed up in an expectant way. METHODS retrospective study in which the pregnancies with and without TTTS and with mild (Quintero's stage I) and severe (Quintero's stages II, III, IV and V) disease manifestations were compared according to extreme preter...

BACKGROUND Chronic placental inflammation, such as villitis of unknown etiology (VUE) and chronic chorioamnionitis (CCA), is considered a placental manifestation of maternal anti-fetal rejection. The aim of this study is to investigate its frequency in twin pregnancies compared to singleton pregnancies. METHODS Three hundred twin placentas and 1,270 singleton placentas were consecutively coll...

BACKGROUND Impact of fetal gender on prematurity has been primarily investigated in singleton pregnancies. In an attempt to understand better how fetal gender may affect gestational length in twin gestations after in vitro fertilization, same-sex twins and opposite twins were compared for pregnancy duration. METHODS This study evaluated 113 women at ages 20 to 39 years with consecutive dichor...

The purpose of this article was to evaluate the accuracy of predicting amnionicity using the number of yolk sacs by diagnostic ultrasound examination in monochorionic (MC) multifetal pregnancies between 7 + 0 and 9 + 6 gestational weeks. A total of 97 patients with MC multifetal pregnancies underwent early ultrasound examination from 2004 to 2014 at Cheil General Hospital and Women's Healthcare...

To cite: Martins CF, Santos AV, Miranda M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-207688 DESCRIPTION A 32-year-old primigravida referred at 22 weeks with contractions. Ultrasound examination showed a 20 mm cervix and a monochorionic diamniotic pregnancy with one structurally normal fetus with hydramnios and a second twin anencephalic and acar...

A twin gestation invariably leads to a certain extent of cervical length shortening . If this reduction is also associated with gradual dilatation internal os and various biochemical , mechanical changes in matrix can lead mid trimester pregnancy loss or preterm labour. This case report on Dichorionic Diamniotic incompetence which rescue cerclage was performed along judicious use tocolysis vagi...