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- W4386633984 abstract "This retrospective analysis to study the prevalence of IUFD among Monochorionic Diamniotic (MCDA) twin pregnancies and the outcome of the co-twin in an attempt to introduce more active intervention in utero to improve such outcome. All the MCDA twins' cases were collected in the period from 2003 till June 2014. The ultrasound data was collected form the ultrasound software (Astraia Software GmbH Occamstr.20, 80802 Munich Germany), and the medical records for the mother/babies. P value below 0.05 was considered for statistical significance. A total of 206 MCDA twins were seen (encompass 0.12 % of all patients). 22 cases had a selective IUFD of one fetus (9.7%). The Mean gestational age for the selective IUFD was 25.6 weeks (SD 6.3 weeks). In 5 patients the co-twin died following the IUFD of the 1st twins (22.7 %). Those who continue after the incident (17 cases “77.3%”), there were 2 cases in which there were cerebral sequel (9%) with antenatal hydrocephalous/brain insult and cerebral palsy postnatally. Among the survivors co-twin, we found the fetal mean fetal weight was 2007.4 gram (SD 622.7 grams). The mean Incedent-delivery interval (IDI) was 4.6 weeks (SD 6.6), On those who had single IUFD before 24 weeks (9 cases) the mean IDI was 8.2 weeks (SD 8.8), in those above 24 weeks (13 cases), The mean interval was approximately 2 weeks (SD 2.3), the difference as not statically significant between both groups using T-Test (P value of 0.069, 95% CI −13.1-0.6). IUFD in MCDA is devastating complication with significant complications for the co-twin. Follow up ultrasound of the co-twin for signs of brain injury. Proper counselling with all the possible complications as well as the follow up plan need to be discussed as early as possible." @default.
- W4386633984 created "2023-09-13" @default.
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- W4386633984 date "2016-09-01" @default.
- W4386633984 modified "2023-10-18" @default.
- W4386633984 title "P26.05: Single <scp>IUFD</scp> in monochorionic diamniotic twins" @default.
- W4386633984 doi "https://doi.org/10.1002/uog.16753" @default.
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