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- W1844185640 abstract "To determine the impact of first trimester crown to rump length (CRL) discordance in first trimester dichorionic diamniotic twins (DCDA) on neonatal outcomes. This is a prospective observational study of cohort of DCDA twin pregnancy over a period of eighteen months at a tertiary referral centre. During this period, 168 DCDA twin pregnancies were confirmed to have a viable twin pregnancy at 10–14 weeks scan for dating by crown rump length (CRL) and determine chorionicity. Outcome of pregnancies with CRL discordance of more than 10% were reviewed for variables including gestational age at delivery, mode of delivery, stillbirths, neonatal deaths and neonatal admissions. Twenty two (13%) pregnancies had CRL discordance of > 10%. The mean gestational age at delivery was 36 + 6 ( ± , 1.98) weeks' gestation. Fourteen (63%) had delivery by caesarean section. Seven babies (16%) of the 22 pairs were admitted to the neonatal unit after birth. In six of the pairs (22%) the CRL discrepancy was > 20% and in this group there were two stillbirths. One fetus died at 32 weeks gestation and other had Inencephaly and died at 34 weeks gestation. Further four babies (33%) were admitted to the neonatal unit immediately after birth. In DCDA twin pregnancies, CRL discordance of more than 20% is associated with increased risk of stillbirth and admission to neonatal unit." @default.
- W1844185640 created "2016-06-24" @default.
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- W1844185640 date "2012-09-01" @default.
- W1844185640 modified "2023-09-27" @default.
- W1844185640 title "P14.02: Impact of first trimester discordance in crown to rump length in dichorionic diamniotic pregnancies on neonatal outcomes" @default.
- W1844185640 doi "https://doi.org/10.1002/uog.11952" @default.
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