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Related Experiment Videos

The placenta in multiple pregnancy: outstanding issues.

K Benirschke1, E Masliah

  • 1University of California San Diego, University Medical Center, 92103-8321, USA. kbenirsc@ucsd.edu

Reproduction, Fertility, and Development
|May 10, 2002
PubMed
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This review covers placental development in multiple pregnancies, focusing on twin-to-twin transfusion syndrome and its consequences. It also examines structural anomaly discordance in identical twins and their origins.

Area of Science:

  • Reproductive Medicine
  • Developmental Biology
  • Genetics

Background:

  • Multiple gestations present unique challenges in placental development and fetal well-being.
  • Twin-to-twin transfusion syndrome (TTTS) is a serious complication affecting monochorionic twins.
  • Fetal demise in one twin can have significant implications for the surviving co-twin.

Purpose of the Study:

  • To review placental development in multiple gestations.
  • To highlight twin-to-twin transfusion syndrome (TTTS), its diagnosis, and potential therapies.
  • To discuss the discordance of structural anomalies in monozygotic twins and their pathogenetic origins.

Main Methods:

  • Literature review of placental development in multiple gestations.
  • Analysis of data concerning structural anomaly discordance in monozygotic twins.

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  • Discussion of pathogenetic mechanisms underlying observed phenomena.

    • Main Results:

    • Review of key aspects of placental development in multiple pregnancies.
    • Summary of current understanding regarding TTTS recognition and therapeutic options.
    • Presentation of data on structural anomaly discordance in monozygotic twins.

    Conclusions:

    • Understanding placental development is crucial for managing multiple gestations.
    • Early recognition and intervention in TTTS can improve outcomes.
    • Further research into the pathogenetic origins of discordance in monozygotic twins is warranted.