Ultrasound Imaging in Multifetal Pregnancies: Its

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Monochorionic Twins Selective IUGR • 10-15% of monochorionic twins • Smaller twin EFW < 10%tile for gestational age • Unequal placental sharing • +/- Unbalanced intertwin vascular flow • Perinatal mortality & long term morbidity - Smaller twin: IUFD 30-40% Neurologic 15-40% - Cotwin twin: IUFD 25-30% Neurologic 20-30% - iatrogenic prematurity - acute feto-feto transfusion
Monochorionic Twins Classification sIUGR Type Umbilical Artery IUFD Neurologic Compromise In Utero Deterioration GA Delivery I Normal 2-4%
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 42 and 43: First trimester prediction Twin com
Page 44 and 45: Discordance & Adverse Outcome by Ch
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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