Open AccessConservative management of twin pregnancies with one dead fetus: is it safe?
Author(s) -
Zorlu C. Gürkan,
Yalçin Hakan R.,
Claglar Turhan,
Gökmen Oya
Publication year - 1997
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349709050067
Subject(s) - medicine , fetus , obstetrics , fetal death , pregnancy , twin pregnancy , perinatal mortality , survival rate , conservative management , surgery , biology , genetics
Background . Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward. Methods . We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow‐up period exceeded 3 weeks. Results . The twinning frequency was 8.9 per thousand deliveries and the frequency of subsequent antepartum death of one fetus was found to be 3.8%. The preterm birth rate was 45.5%and the survival rate was 90.1%. The perinatal mortality rate was 12%. Maternal clotting disorder was observed in one patient and treated successfully with heparin. Conclusions . We suggest that these patients are best managed conservatively unless further hazard to the fetus or mother appears.