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Updated: Aug 11, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
Disseminated intravascular coagulation following selective termination in a twin pregnancy. A case report
D N Hackney1, M Williams, M B Landon
1Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH 43210-1228, USA.
Objective:
Coagulation abnormalities after single fetal demise are well described, but similar cases had not been previously reported following therapeutic selective termination.
Case:
A 23-year-old G(3) P(2001) with a monochorionic-diamnionic twin pregnancy underwent selective termination at 20 4/7 weeks for severe twin-twin transfusion syndrome. Her fibrinogen thereafter decreased and she developed disseminated intravascular coagulopathy with pathological bleeding during a cesarean section. The maternal coagulopathy resolved postpartum.
Conclusion:
Coagulation disorders can follow selective termination. Recommendations to serially follow coagulation parameters after these procedures, however, cannot be based upon a single case.
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