Ultrasound Imaging in Multifetal Pregnancies: Its

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Outcome of MCDA twin gestations in the era of invasive fetal therapy Survival Twin live births 172 85% Singleton 15 7% Double demise 15 7% Complication TTTS 18 9% sIUGR 30 15% Losses Total 11% (TTTS ~ 42%) < 24 weeks 84% > 24 weeks 16% > 32 weeks 1% Extra loss in MC twins is due to complications placental anastomoses Lewi et al., 2008
Complications in Monochorionic Multi-Fetal Pregnancies • Twin-Twin Transfusion Syndrome - Oligo/Polyhydramnios Sequence ~ TOPS - Twin Anemia Polycythemia Sequence ~ TAPS • Twin Reverse Arterial Perfusion • Growth Discordance • Discordant malformations - Structural - Chromosomal • Monoamnioitc
Page 1 and 2: “Ultrasound Imaging in Multifetal
Page 3: Perinatal mortality MC vs. DC twins
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 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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