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[Hormonal evaluation in multiple pregnancies (author's transl)]

I Gerhard, B Runnebaum

    Geburtshilfe Und Frauenheilkunde
    |February 1, 1980
    PubMed
    Summary
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    Hormone levels in multiple pregnancies are higher initially, but serum markers don't predict fetal risk later. Urinary estrogen may indicate placental issues in high-risk twin and triplet pregnancies.

    Area of Science:

    • Reproductive Endocrinology
    • Maternal-Fetal Medicine
    • Clinical Chemistry

    Context:

    • Multiple pregnancies (twins, triplets) present significant risks.
    • Monitoring high-risk pregnancies requires reliable biomarkers.
    • Previous studies explored hormonal profiles in singleton pregnancies.

    Purpose:

    • To investigate hormonal profiles in twin and triplet pregnancies.
    • To assess the correlation between serum and urinary estrogen levels.
    • To determine the utility of hormonal markers for early fetal risk detection in multiple gestations.

    Summary:

    • Long-term hormonal monitoring (estrogen, HCG, HPL, progesterone) was conducted in 39 twin and 1 triplet pregnancy. Initial elevated hormone levels suggested multiple gestation. However, serum hormonal parameters did not aid in early fetal risk detection during later pregnancy stages. Urinary estrogen excretion patterns occasionally indicated placental insufficiency.

    Related Experiment Videos

  • High incidence rates of premature labor (90%), pre-eclampsia (28%), and bleeding (25%) were observed.
  • Infants faced risks of prematurity (58%) and increased perinatal mortality (8%).

    • Impact:

    • Highlights the limitations of current serum hormonal markers for predicting fetal risk in advanced multiple pregnancies.
    • Suggests urinary estrogen excretion may serve as a potential indicator of placental insufficiency in these high-risk cases.
    • Informs clinical practice regarding the monitoring and management of twin and triplet pregnancies.