Twin Pregnancy with Single Fetal Demise – Review of Fetal, Maternal Outcome and Management
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 12
Abstract
Aim – Aim of this study is to analyze the twin pregnancies with single fetal demise from the time of diagnosis of demise till delivery from the time of diagnosis of demise till delivery. The maternal, fetal complications and management are studied, co twin babies are followed up for a period of 18 months. Materials and method – This study is a retrospective and prospective study conducted at a government tertiary care hospital. During the study period out of 676 twin pregnancies 55 pregnancies were complicated by single fetal demise. All the cases were analyzed for incidence of maternal complications like preeclampsia, disseminated intravascular coagulation (DIC), Abruptio placenta, neonatal complications like low birth weight, preterm birth and neurological deficits. Results – Among the 55 cases studied, 12 had fetal demise at first trimester, 25 had fetal demise in second trimester and 18 had fetal demise third demise. Incidence of single fetal demise was similar in both chorionicity. No case of coagulopathy was observed. 1 case of abruptio placenta which caused death of the other twin also. There was significant association between the chorionicity, parity and neonatal survial.
Authors and Affiliations
Dr. Shanthi. S, Dr. Vanitha. V, Dr. S. Usha Rani
Keywords
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