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OP15.03: Antenatal ultrasonographic monitoring and perinatal outcomes in monochorionic pregnancy‐specific anomalies
Author(s) -
Safonova I.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19526
Subject(s) - medicine , obstetrics , pregnancy , fetus , monochorionic twins , incidence (geometry) , quadruplets , umbilical artery , pediatrics , gestation , physics , optics , genetics , biology
Results: Of 12 cases diagnosed from 2008, two were lost of follow-up and two had laser coagulation of placental anastomosis by standard fetoscopy surgery. Only eight pregnancies were included in this report. In these eight pregnancies, SIUGR3 was diagnosed at 22.5 weeks of GA (18 to 30), with only three diagnosed after 24 weeks (26,28 and 30). Mean discordance was 33% (25-49%). Only one had double fetal demise at 26 weeks, without ductus venosus abnormalities. In the rest, delivery was indicated because of the diagnosis, early in third trimester in all. This occurred at a mean of 30 weeks (28 to 32). There were two neonatal demises, which left 12 live children at discharge from the neonatal care unit (75% survival). Mean follow-up is 4.5 years, with only three children with less than two years. There are no cases with cerebral palsy, but some minor language or neurologic disabilities. All are at normal schools attending their age level or one behind (one child). Conclusions: In these few cases with conservative management, long term follow-up seems better than described. Greater series and strict follow-up is needed to confirm these findings.