Ultrasound Imaging in Multifetal Pregnancies: Its
Ultrasound Imaging in Multifetal Pregnancies: Its
Ultrasound Imaging in Multifetal Pregnancies: Its
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Tw<strong>in</strong>s <strong>Ultrasound</strong> Surveillance<br />
All tw<strong>in</strong>s<br />
- <strong>Ultrasound</strong> for anomalies at 18 – 20 weeks<br />
- Placental Cord Insertions<br />
- Weekly Biophysical profile > 32 weeks<br />
Dichorionic<br />
- <strong>Ultrasound</strong>s Q 4 weeks for serial growth<br />
- Change <strong>in</strong> AFV and Doppler UA may precede discordant growth<br />
Monochorionic tw<strong>in</strong>s<br />
- <strong>Ultrasound</strong>s alternate limited and growth, Q 2 weeks, 16 wks<br />
- Amniotic fluid volume, bladder<br />
- Fetal growth<br />
- Doppler blood flow studies<br />
- UA, UV, DV and MCA basel<strong>in</strong>e 20 weeks<br />
- Repeat if > 20% discordance with smaller < 10%<br />
- Uncomplicated or late discordance MCA<br />
- Fetal echocardiography
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