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Syndromes in twins

M E D'Alton1, L L Simpson

  • 1Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, MA 02111, USA.

Seminars in Perinatology
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

Twin pregnancies face higher risks of perinatal mortality and morbidity, primarily due to preterm birth. Unique twin conditions like twin-to-twin transfusion syndrome also increase these risks.

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Area of Science:

  • Perinatology
  • Maternal-Fetal Medicine
  • High-Risk Obstetrics

Background:

  • Twin pregnancies exhibit higher rates of perinatal mortality and morbidity compared to singleton gestations.
  • Preterm delivery is a primary contributor to the increased adverse outcomes in twin pregnancies.
  • Specific conditions unique to twins exacerbate perinatal risks.

Purpose of the Study:

  • To review unique conditions contributing to increased perinatal morbidity and mortality in twin gestations.
  • To highlight the importance of prenatal chorionicity determination for diagnosis and management.

Main Methods:

  • Review of literature focusing on specific complications in twin pregnancies.
  • Discussion of conditions including monoamniotic twins, congenital anomalies (conjoined twins, acardia), intrauterine fetal demise, and twin-to-twin transfusion syndrome.

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  • Emphasis on the role of prenatal chorionicity assessment.

    • Main Results:

    • Identified several unique twin-specific conditions that elevate perinatal risks.
    • Highlighted twin-to-twin transfusion syndrome as a significant contributor to morbidity and mortality.
    • Stressed the critical role of determining chorionicity for effective management.

    Conclusions:

    • Specialized conditions in twins necessitate careful prenatal monitoring and management.
    • Accurate prenatal determination of chorionicity is fundamental for addressing twin-specific complications.
    • Addressing these unique risks can improve perinatal outcomes in twin pregnancies.