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- W85959265 abstract "Abstract In order to establish a protocol considering the definition, diagnosis, and management of growth-discordant twin gestations, a questionnaire was sent to 96 authors of twin-related obstetric articles. The views of the 61 responders comprise this international census survey. The data suggest that a clear cut-off value for discordancy is still needed; however, the data indirectly supported a two-grade definition, namely, mild (> 15% and < 25% birth-weight disparity) and severe (> 25%) growth discordants. Expectant management was advocated by the majority of participants with out-patient follow-up for mild discordants, while severe discordants may preferably be hospitalized. Follow-up should be done by non-stress testing (daily - 2/wk), biophysical profile (1-2/wk), Doppler velocimetry (1/wk - bi-weekly) and sonographic biometry (bi-weekly). The opinions considering termination of pregnancy because of intertwin growth discordancy were divided; however, discordancy per se, was not considered an indication for cesarean delivery. An adapted management flowchart that summarizes the survey's data is presented and may be used as a standard for future investigations." @default.
- W85959265 created "2016-06-24" @default.
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- W85959265 date "1991-10-01" @default.
- W85959265 modified "2023-10-06" @default.
- W85959265 title "The Definition, Diagnosis, and Management of Growth-Discordant Twins: An International Census Survey" @default.
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- W85959265 doi "https://doi.org/10.1017/s0001566000003536" @default.
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