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Conservative management of twin pregnancies with one dead fetus: is it safe?
C G Zorlu1, H R Yalçin, T Cağlar
1Clinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, Turkey.
Background:
Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward.
Methods:
We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow-up period exceeded 3 weeks.
Results:
The twinning frequency was 8.9 per thousand deliveries and the frequency of subsequent antepartum death of one fetus was found to be 3.8%. The preterm birth rate was 45.5% and the survival rate was 90.1%. The perinatal mortality rate was 12%. Maternal clotting disorder was observed in one patient and treated successfully with heparin.
Conclusions:
We suggest that these patients are best managed conservatively unless further hazard to the fetus or mother appears.