التفاصيل البيبلوغرافية
العنوان: |
Selective delivery in a twin gestation. |
المؤلفون: |
Porreco, Richard P., Sabin, Eleanor Diss, Porreco, R P, Sabin, E D, Heyborne, K D, Lingle, J R |
المصدر: |
American Journal of Obstetrics & Gynecology; Jul98, Vol. 179 Issue 1, p264-265, 2p |
مصطلحات موضوعية: |
DELIVERY (Obstetrics), TWINS, PERINATAL death, UTERINE surgery, GESTATIONAL age, SYMPTOMS, PREVENTION |
مستخلص: |
One or more infants of a multifetal pregnancy occasionally require delivery selectively because of in utero risk of fetal death in circumstances in which the sibling fetus appears well. At 26 weeks 5 days of gestation a small fundally placed twin in a dichorionic gestation had an estimated fetal weight of 650 g with decreased amniotic fluid and ominous Doppler velocity findings in his umbilical artery. A normally grown presenting sibling had reassuring fetal surveillance data. Over a 2-week interval the growth-restricted twin showed no growth, and his status deteriorated. He was selectively delivered by hysterotomy. Selective delivery may offer parents of multifetal gestations an additional option when 1 or more of their fetuses are at high risk for in utero death. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
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