The rate of multiple pregnancies is showing a significant increase in Western countries. Twin gestations should be considered a high-risk condition because they are responsible for a disproportionate amount of overall perinatal morbidity and mortality. We used a specialised ultrasound protocol based on chorionicity to monitor 44 twin pregnancies (61% dichorionic diamniotic (DD) and 39% monochorionic diamniotic (MD)). Adverse pregnancy outcomes and pre-term deliveries were more common in MD pregnancies than in DD pregnancies; the rate of extreme pre-term delivery (< 32 weeks) was almost three-times higher in MD than in DD pregnancies (41% vs 15%) and perinatal complications were more frequent in MD than in DD pregnancies (59% vs 22%), but fetal anomalies were more frequent in DD than in MD pregnancies (30% vs 24%). Periodic ultrasound follow-up would predict the pregnancies that are at greater risk for fetal and neonatal complications and these should be monitored more closely.

Ultrasound management and clinical outcome of twin pregnancies / Giancotti, Antonella; B., Muto; V. D., Ambrosio; D'Ambrosio, Valentina; V., Diambrosio; Bevilacqua, Elisa; Pasquali, Gaia; Squarcella, Antonia; LA TORRE, Renato. - In: JOURNAL OF OBSTETRICS AND GYNAECOLOGY. - ISSN 0144-3615. - 33:7(2013), pp. 675-677. [10.3109/01443615.2013.813915]

Ultrasound management and clinical outcome of twin pregnancies

GIANCOTTI, Antonella;D'AMBROSIO, VALENTINA;BEVILACQUA, ELISA;PASQUALI, GAIA;SQUARCELLA, ANTONIA;LA TORRE, Renato
2013

Abstract

The rate of multiple pregnancies is showing a significant increase in Western countries. Twin gestations should be considered a high-risk condition because they are responsible for a disproportionate amount of overall perinatal morbidity and mortality. We used a specialised ultrasound protocol based on chorionicity to monitor 44 twin pregnancies (61% dichorionic diamniotic (DD) and 39% monochorionic diamniotic (MD)). Adverse pregnancy outcomes and pre-term deliveries were more common in MD pregnancies than in DD pregnancies; the rate of extreme pre-term delivery (< 32 weeks) was almost three-times higher in MD than in DD pregnancies (41% vs 15%) and perinatal complications were more frequent in MD than in DD pregnancies (59% vs 22%), but fetal anomalies were more frequent in DD than in MD pregnancies (30% vs 24%). Periodic ultrasound follow-up would predict the pregnancies that are at greater risk for fetal and neonatal complications and these should be monitored more closely.
2013
twin; multiple pregnancy; chorionicity; ultrasound
01 Pubblicazione su rivista::01a Articolo in rivista
Ultrasound management and clinical outcome of twin pregnancies / Giancotti, Antonella; B., Muto; V. D., Ambrosio; D'Ambrosio, Valentina; V., Diambrosio; Bevilacqua, Elisa; Pasquali, Gaia; Squarcella, Antonia; LA TORRE, Renato. - In: JOURNAL OF OBSTETRICS AND GYNAECOLOGY. - ISSN 0144-3615. - 33:7(2013), pp. 675-677. [10.3109/01443615.2013.813915]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/539808
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