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Resolution of superimposed pre‐eclampsia, and improvement in umbilical artery flow in a surviving twin after intrauterine demise of its co‐twin
Author(s) -
Narasimhulu Deepa M.,
Karakash Scarlett,
Rankin Linda,
Minkoff Howard
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12725
Subject(s) - medicine , eclampsia , obstetrics , umbilical artery , placenta , demise , apgar score , gestation , pregnancy , fetus , genetics , political science , law , biology
Pre‐eclampsia has a progressive clinical course, and is only cured by delivery of the placenta. We report a 30‐year‐old G1P0 with dichorionic twins, discordant growth and chronic hypertension who developed superimposed pre‐eclampsia in her 21st week of gestation. After intrauterine demise of the severely growth‐restricted twin, the superimposed pre‐eclampsia resolved. The surviving twin initially had absent end diastolic flow, which resolved after the demise. A healthy 1935‐g neonate with Apgar 9/9 was delivered at 34 weeks. Antenatal resolution of pre‐eclampsia is extremely rare and resolution of superimposed pre‐eclampsia has not, to our knowledge, been reported.