Abstract
Objective:To evaluate the maternal and fetal demographic features and clinical aspects of twin pregnancies with single intrauterine demise.Materials and Methods:This retrospective study was conducted in Dicle University Faculty of Medicine, Department of Gynecology and Obstetrics between January 2008 and December 2013. There were a total of 594 twin deliveries in our hospital between the given dates. Twenty-nine of these cases were referred to our hospital by another health center because of a preliminary diagnosis of single intrauterine demise. Maternal age, parity, chorionicity, week of fetal death, gestational week at delivery, mode of delivery, birth weight, Activity, pulse, grimace, appearance, respiration scores, maternal fibrinogen levels at delivery and during pregnancy, stay in the neonatal intensive care unit, and obstetric complications were explored in these 29 cases of single intrauterine demise.Results:The mean age of the 29 patients who were provided antenatal follow-up and delivery services in our hospital was 29.9±6.5 years. Thirteen (44.8%) of the patients were monochorionic, whereas 16 (55.2%) were dichorionic. Intrauterine fetal death occurred in the first trimester in 6 pateints and in the second or third trimester in 23. In addition, 20 (69%) patients underwent cesarean section, whereas 9 (31%) had spontaneous vaginal delivery. Lastly, none of the patients had a maternal coagulation disorder.Conclusion:Twin pregnancies with single intrauterine death can lead to various complications for both the surviving fetus and the mother. Close maternal and fetal monitoring, and proper care and management can minimize complications.
Highlights
It has been reported that single intrauterine demise occurs in 5% of all twin pregnancies[1]
The etiology is unknown in the majority of cases; twin-to-twin transfusion syndrome, Rh incompatibility, chromosomal and congenital abnormalities, preeclampsia, umbilical vein thrombosis, single umbilical artery, abnormalities arising from the location of placenta, and umbilical cord and uterine malformations are the main causes of fetal death in the rest of the cases[2,3,4]
The remaining 29 twin pregnancies complicated by single intrauterine demise were included in the study
Summary
It has been reported that single intrauterine demise occurs in 5% of all twin pregnancies[1]. Single intrauterine demise may cause severe outcomes for the surviving fetus, especially in monochorionic twin pregnancies. Complications such as cerebral impairment, preterm labor and related sequelae, and subsequent death of the surviving fetus may occur in these cases[5]. Ideal management is uncertain in twin pregnancies complicated by single intrauterine demise. The purpose of this study was to explore the clinical features and fetal- and maternal outcomes of 29 twin pregnancies diagnosed as having single intrauterine demise
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of Turkish Society of Obstetric and Gynecology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
