Ultrasound Imaging in Multifetal Pregnancies: Its

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Monochorionic Twins Management of Anomalies Risk of death or longterm compromise co-twin • Old theory of “bad humors’ crossing to the live twin discounted • Acute hemodynamic changes the more likely etiology • No benefit from acute delivery • 15% of cases associated with IUFD of co-twin – ↑ 5X over dichorionic twins • 34% abnormal postnatal cranial imagine with IUFD co-twin • 26% of survivors with neurologic sequelae – ↑ 12X over dichorionic twins Fusi et al. Obstet Gynecol 1991;78:517-20 Ong et al. BJOG 2006;113:992-8 Hillman et al Obstet Gynecol 2011;118:928-40
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Page 1 and 2: “Ultrasound Imaging in Multifetal
Page 3 and 4: Perinatal mortality MC vs. DC twins
Page 5 and 6: Complications in Monochorionic Mult
Page 7 and 8: "There is NO diagnosis of twins.”
Page 9 and 10: Ultrasound techniques for determini
Page 11 and 12: Multifetal Pregnancies ~ Establish
Page 13 and 14: Accuracy of referral vs. tertiary d
Page 15 and 16: Bipartite Monochorionic Placentatio
Page 17: Bahityar MO, J Ultrasound Med 2007;
Page 21 and 22: Dilemmas in Management of twins dis
Page 23 and 24: Acardiac Twin
Page 25 and 26: Outcome in TRAP Pregnancies Observa
Page 27 and 28: Twin-twin Transfusion Syndrome
Page 29 and 30: Twin Twin Transfusion Syndrome Diag
Page 31 and 32: Twin-Twin Transfusion Syndrome Stag
Page 33 and 34: Suspected TTTS How often Dx Correct
Page 36 and 37: TAPS Optimal Management is Unclear
Page 38 and 39: Discordant Growth & Selective IUGR
Page 40 and 41: Factors Affecting Fetal Maternal Pl
Page 42 and 43: First trimester prediction Twin com
Page 44 and 45: Discordance & Adverse Outcome by Ch
Page 46 and 47: Monochorionic Twins Selective IUGR
Page 48 and 49: Perinatal outcome with expectant ob
Page 50 and 51: Monochorionic Diamniotic Twins Freq
Page 52 and 53: Twins Ultrasound Surveillance All t

Ultrasound Imaging in Multifetal Pregnancies: Its

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