Ultrasound Imaging in Multifetal Pregnancies: Its

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First trimester prediction Twin complications & adverse outcome Study # Placenta Bwt > 20% sIUGR Early IUFD Perinatal Mortality Sebire, 1998 549 MC/DC - - + - Kalish, 2004 159 DC + - + - Tai, 2007 178 MC/DC + - - - Banks, 2008 135 DC - - - - Memmo, 2011 242 MC + D’Antonio, 2013 2155 MC/DC - - - - In the absence of aneuploidy or structural malformations CRL discordance is a poor predictor for adverse perinatal outcome in MC and DC twin pregnancies D’Antonio F, Ultrasound Obstet Gynecol.2013; Feb 14. doi: 10.1002/uog.12430
Discordant Growth in Twin Pregnancies 2 nd Trimester Ultrasound Predictive Accuracy Discordance > 20% Screening Test Sensitivity Specificity AC 65-83% 65-90% EFW 50-93% 80-93% Miller J et al AJOG. 2012;206:10-20
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 and 18: Bahityar MO, J Ultrasound Med 2007;
Page 19 and 20: Maternal-Fetal Surgery: Balancing R
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 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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