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Prediction of Second Trimester Intrauterine Growth Retardation and Fetal Death in a Discordant Twin by First Trimester Measurements

 

作者: O. Tadmor,   M. Nitzan,   R. Rabinowitz,   Y. Skomorovsky,   Y. Aboulafia,   Y.Z. Diamant,  

 

期刊: Fetal Diagnosis and Therapy  (Karger Available online 1995)
卷期: Volume 10, issue 1  

页码: 17-21

 

ISSN:1015-3837

 

年代: 1995

 

DOI:10.1159/000264186

 

出版商: S. Karger AG

 

关键词: Discordant twins;Pregnancy sac size;Crown-rump length;Doppler Intrauterine growth retardation;Intrauterine fetal death

 

数据来源: Karger

 

摘要:

Ultrasound examination at 9 weeks of gestation in a 34-year-old primigravida showed a twin pregnancy, with discrepancy in the sizes of the two gestational sacs, whereas the crownrump lengths and fetal heart rates were virtually identical – the result being an abnormal sac size/crownrump length ratio (early oligohydramnios). By 14 weeks discordant heart rates and umbilical artery flow velocities were detected, the discordance between the twins increasing as pregnancy progressed. Biparietal diameters, femoral lengths, and abdominal circumferences were also progressively discordant, and at 28 weeks the smaller twin had no heart beat. At 30 weeks the patient was delivered of a live 1,350-gram infant and a 400-gram dead fetus. This case suggests, in contradistinction to several previous reports, that fetal discordance in twin pregnancies (and perhaps intrauterine growth retardation in general) may be present as early as the first trimeste

 

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