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Related Experiment Videos

Fetofetal transfusion in triplets

V K Rehan1, S M Menticoglou, M M Seshia

  • 1Health Sciences Centre, Winnipeg, Manitoba, Canada.

Archives of Disease in Childhood. Fetal and Neonatal Edition
|July 1, 1995
PubMed
Summary

Fetofetal transfusion syndrome (FFTS) in monochorionic triplets poses significant risks. This case underscores the high rates of perinatal complications and mortality associated with this rare condition in multiple gestations.

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Area of Science:

  • Perinatology
  • Maternal-Fetal Medicine
  • Reproductive Medicine

Background:

  • Monochorionic triplet pregnancies involve shared placental circulation among all fetuses.
  • Fetofetal transfusion syndrome (FFTS) can occur in such high-risk gestations.
  • Understanding FFTS in multiple births is crucial for improving outcomes.

Observation:

  • A rare case of FFTS was observed in a monochorionic triplet pregnancy.
  • All three fetuses shared a common vascular system.
  • All neonates were initially born alive.

Findings:

  • Despite live birth, two of the three triplet infants died within 48 hours.
  • The case demonstrated the severe perinatal morbidity associated with FFTS in triplets.
  • High perinatal mortality is a significant concern in these cases.

Implications:

  • This case emphasizes the challenges in managing FFTS in monochorionic triplet pregnancies.
  • Improved diagnostic and therapeutic strategies are needed to reduce perinatal mortality.
  • Further research into naturally occurring monochorionic triplet gestations complicated by FFTS is warranted.

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