[Prenatal management of fetofetal transfusion syndrome].

The twin-twin transfusion syndrome is a rare but severe complication in monozygotic twins. A total of 172 twin pregnancies were investigated in our hospital between January 1990 and August 1993. The patients were divided into 4 groups: Group I: Normal twin pregnancy, treatment only in our hospital. Group II: Twin-twin transfusion syndrome, treatment only in our hospital. Group III: Normal twin pregnancy, delivery in another hospital. Group IV: Twin-twin transfusion syndrome, after treatment and therapy delivery in another hospital. These cases were analysed concerning prenatal management and perinatal outcome. The perinatal mortality rate in group I-IV was 17%, 58%, 18% and 60%, respectively. A benefit of aggressive amniocentesis in case of polyhydramnios, administration of digoxin and timing of labour could be demonstrated.

Related Organizations

Universitätszahnklinik Wien
Austria

Keywords

Adult, Male, Digoxin, Infant, Newborn, Tocolysis, Gestational Age, Fetofetal Transfusion, Combined Modality Therapy, Ultrasonography, Prenatal, Congenital Abnormalities, Pregnancy, Amniocentesis, Birth Weight, Humans, Female, Ultrasonography, Doppler, Color

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