Selective Intrauterine Growth Restriction in Monochorionic Twins
EFW of small fetus less than 10th centile/EFW discordancy >25% pathophysiology-unequal placental sharing role of vascular anastamosis in natural history-larger interfetal blood flow—type 3 better outcome than type 2 classification-based on umbilical artery doppler into three types complications—I...
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| Autores principales: | , , |
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
| Publicado: |
IntechOpen
2022
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| Materias: | |
| Acceso en línea: | https://www.intechopen.com/chapters/84640 |
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| Sumario: | EFW of small fetus less than 10th centile/EFW discordancy >25% pathophysiology-unequal placental sharing role of vascular anastamosis in natural history-larger interfetal blood flow—type 3 better outcome than type 2 classification-based on umbilical artery doppler into three types complications—IUD of snall fetus with acute TTTS-neurological sequelae in normal twin suerviellance and management of types type 1-expectant management, close followup(weekly/biweekly doppler surviellance) and delivery by 34–35 weeks type 2-long latency to deterioration than singleton. Doppler (Ductus venosus) follow up alternate days (if abnormal DV)0r weekly (normal DV) delivery by 30–32 weeks type 3-intermittent doppler changes due to large AA anastamosis. Weekly followup if DV normal or closer follow up if abnormal. Deliver at 32 weeks role of fetal intervention-GA <24 weeks with AREDF/DV PI >95/discordancy >35%. |
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| ISBN: | 978-1-80356-197-4 |
| DOI: | 10.5772/intechopen.107294 |