Conservative management of twin pregnancies with one dead fetus: Is it safe?
Acta Obstetricia et Gynecologica Scandinavica, cilt.76, sa.2, ss.128-130, 1997 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 76 Sayı: 2
- Basım Tarihi: 1997
- Doi Numarası: 10.3109/00016349709050067
- Dergi Adı: Acta Obstetricia et Gynecologica Scandinavica
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.128-130
- Anahtar Kelimeler: coagulopathy, single fetal death, twin pregnancy
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
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.