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Ultrasound Imaging in Multifetal Pregnancies: Its

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TAPS<br />

Optimal Management is Unclear<br />

• Expectant observation<br />

• Induction of labor<br />

• Selective reduction<br />

• Laser photocoagulation<br />

• Intrauter<strong>in</strong>e transfusion<br />

Intravascular/<strong>in</strong>traperitoneal<br />

IV / exchange transfusion<br />

• Per<strong>in</strong>atal mortality and<br />

morbidity unknown<br />

• Majority Dual Survivors<br />

• IUFD (dual & s<strong>in</strong>gle)<br />

• Thrombosis, CNS<br />

Infarct; Hydrops<br />

Delivery 32 wks 4 days<br />

Dual survivors<br />

S<strong>in</strong>gle AA at placental edge<br />

Herway C et al <strong>Ultrasound</strong> Obstet Gynecol 2009;33:592

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