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Twin transfusion syndrome: Successful in utero treatment with digoxin
Author(s) -
De Lia Julian E.,
Emergy Maurice G.,
Sheafor Sheryl A.,
Jennison Thomas A.
Publication year - 1985
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(85)90104-3
Subject(s) - medicine , digoxin , in utero , heart failure , pregnancy , obstetrics , gestation , hydrops fetalis , ascites , fetus , surgery , cardiology , biology , genetics
Abstract A pregnancy complicated by twin transfusion syndrome is presented. When signs of cardiac failure (edema, ascites and hydramnios) persisted in the recipient twin, maternal digoxin therapy was instituted at 27 weeks' gestation. The signs of failure resolved, and the twins were delivered electively by cesarean section at 34 weeks. At birth, the syndrome was confirmed by examination of the infants and placenta. Both infants survived. Digoxin therapy is recommended for fetal heart failure from circulatory overload in twin transfusion.