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- W2895872621 abstract "In singleton pregnancy, oligohydramnios in patients with preterm premature rupture of membrane (PROM) is associated with intrauterine infection and poor perinatal outcome. In preterm PROM of twin pregnancy, one twin shows oligohydramnios complicated with preterm PROM and co-twin shows normal amniotic fluid volume (AFV). There is a paucity of information regarding the clinical significance of co-twin with normal AFV in women with preterm PROM. We undertook this study to evaluate perinatal outcome according to the status of amniotic fluid in twin pregnancies with preterm PROM. In this retrospective cohort study, we found 64 preterm PROM twin pregnancies delivered at less than 35 weeks of gestation and presented with oligohydramnios in one twin and normal AFV in co-twin. Cases with major malformation, or Twin–twin transfusion syndrome were excluded. The diagnosis of oligohydramnios was based on a single deepest pocket of amniotic fluid ≤2cm. Adverse neonatal outcomes and placental inflammation were compared between cases with normal AFV and those with oligohydramnios. Sixty-four pairs of twins (128 individuals) are included in this study. The median gestational age at delivery was 31.9 weeks (range 23.4-34.9) and the median latency period between the rupture and the delivery was 11 days (range 1-115). Among the neonates with preterm PROM, 54 (84.4%) were the presenting twin. The twin with oligohydramnios had higher rate of neonatal mortality and funisitis than co-twin with normal AFV (table). Perinatal outcome is favourable in one twin with normal AFV compared to co-twin with oligohydramnios in twin preterm PROM even though risk of preterm delivery is elevated. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2895872621 created "2018-10-26" @default.
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- W2895872621 date "2018-10-01" @default.
- W2895872621 modified "2023-10-03" @default.
- W2895872621 title "OP07.05: Discordancy in amniotic fluid volume of twin pregnancy with preterm premature rupture of membrane: oligohydramnios versus normal amniotic fluid" @default.
- W2895872621 doi "https://doi.org/10.1002/uog.19447" @default.
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