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Ultrasound Imaging in Multifetal Pregnancies: Its

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Tw<strong>in</strong>-Tw<strong>in</strong> Transfusion Syndrome Stag<strong>in</strong>g<br />

(TOPS)<br />

Stage I<br />

Stage II<br />

Stage III<br />

Stage IV<br />

Oligohydramnios(8cm)<br />

Discordant fluid volume<br />

No bladder <strong>in</strong> the donor tw<strong>in</strong><br />

Doppler flow- absent or reversed <strong>in</strong> umbilical artery or<br />

ductus venosus, pulsatile flow <strong>in</strong> the umbilical ve<strong>in</strong><br />

Hydrops <strong>in</strong> one or both fetuses<br />

Stage V<br />

One or both fetuses have died<br />

Qu<strong>in</strong>tero R et al J. Per<strong>in</strong>atol 1999;19:55

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