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[Fetal death in multiple pregnancy--implications for obstetrics and literature review]
A Feiks1, J Scholler, G Rehacek
1Gyn.-Gebh. Abteilung der KA Rudolfstiftung Wien.
Due to routinely and skilled ultrasound examinations during pregnancy the diagnosis of a single intrauterine loss in twin pregnancy is increasingly found. This report demonstrates two cases of twin gestation complicated by the death of one fetus, presented as a fetus papyraceus. Supported by the recent literature, intensive observation and care leaded to spontaneous delivery near term of the healthy surviving twins. In such cases conservative obstetrical management is recommended.
Due to routinely and skilled ultrasound examinations during pregnancy the diagnosis of a single intrauterine loss in twin pregnancy is increasingly found. This report demonstrates two cases of twin gestation complicated by the death of one fetus, presented as a fetus papyraceus. Supported by the recent literature, intensive observation and care leaded to spontaneous delivery near term of the healthy surviving twins. In such cases conservative obstetrical management is recommended.