Open AccessSingle fetal demise in multiple pregnancy
Author(s) -
А. А. Кузнецов,
A. N. Romanovsky,
А. В. Шлыкова,
Т. А. Каштанова,
Vera V Shman,
I. V. Kyanksep,
В. Е. Мовчан,
Н. Е. Державина,
А. А. Савельева,
F. A. Ovsyannikov,
А. В. Михайлов
Publication year - 2019
Publication title -
translâcionnaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2410-5155
pISSN - 2311-4495
DOI - 10.18705/2311-4495-2019-6-5-
Subject(s) - medicine , obstetrics , pregnancy , monochorionic twins , fetus , twin pregnancy , gestation , intrauterine death , gestational age , genetics , biology
Single intrauterine fetal demise (sIUFD) in multiple pregnancy occurs with frequency from 3.7 up to 6.8 % and is associated with an risk of premature birth, death of cotwin and high morbidity and mortality rates in newborns. The time of sIUFD and type of twin gestation would determine perinatal outcomes. The rate of prenatal death of the co-twin is different and depend on the type of multiple pregnancy, accounting 4 % for dichorionic and 12 % in monochorionic pregnancies. However, the correlation between the type of chorionicity, delivery time and the frequency of preterm delivery is not clearly established. The risk of neurological complications in newborns after sIUFD fluctuate significantly in case of the type of chorionicity and could achieve 18 % in monochorionic twins and only 1 % in dichorionic twins. The paper was discussed the main reasons for sIUFD in multiple pregnancy, rather pathophysiological aspects of perinatal morbidity and mortality for cotwin was also discussed. The management of complications, methods of their correction, optimal methods and time of delivery in case of sIUDF in multiple pregnancies was presented.