Fetal growth in multifetal gestation

Clinical Obstetrics and Gynecology
D M Sherer, M Y Divon

Abstract

Multiple gestations present a significant increase in fetal growth abnormalities in direct relationship to the number of fetuses present. Various definitions of birth weight discordancy exist (> or = 15%-40%). When first trimester discordancy in CRL or gestational sac diameter or early second trimester discordancies of BPD, HC, AC, or femur length are detected, genetic counseling and further work-up, including chromosomal analysis, should be considered. AC and SEFW are the best sonographic predictors of second and third trimester growth discordancy of twins. Discordant Doppler velocimetry of the umbilical arteries enhances ultrasonographic diagnosis of twin discordancy. Karyotyping also should be considered on second or third trimester diagnosis of growth discordancy. Twin-twin transfusion should be considered when growth discordancy is diagnosed in monochorionic gestations. Concordant twins with appropriate-for-gestational-age growth parameters should be followed with repeated sonographic assessment of fetal growth at approximately 4-week intervals. Discordant twins should be followed by repeat sonographic assessment of fetal growth at closer intervals, most probably every 2 weeks. Surviving singleton fetuses, after spontaneou...Continue Reading

References

Jan 1, 1992·Journal of Perinatal Medicine·N MordelE Sadovsky
Jan 1, 1992·Fetal Diagnosis and Therapy·N B IsadaM I Evans
Aug 1, 1990·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·J F RodisD J Nochimson
Apr 1, 1990·American Journal of Obstetrics and Gynecology·J F RodisD J Nochimson
Jul 1, 1986·American Journal of Perinatology·L C GilstrapW Pierson
Mar 1, 1994·Acta Obstetricia Et Gynecologica Scandinavica·H J PrömpelerM Breckwoldt
Jan 1, 1993·Acta geneticae medicae et gemellologiae·R Ahiron, I Blickstein
Sep 1, 1993·American Journal of Perinatology·A ShushanE Sadovsky
Jul 1, 1993·American Journal of Obstetrics and Gynecology·R L BerkowitzP Bergh
Jan 1, 1993·British Journal of Obstetrics and Gynaecology·P BoulotJ L Viala
Jan 1, 1993·American Journal of Perinatology·N MordelE Sadovsky
May 1, 1993·American Journal of Perinatology·N MordelE Sadovsky
Nov 1, 1995·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Y YuvalS Lipitz
Nov 1, 1995·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L LynchC J Lockwood
Jul 1, 1996·Obstetrics and Gynecology·F D MaloneM E D'Alton

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Citations

Feb 13, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Louis Yik-Si ChanTze Kin Lau
Jun 10, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D M Sherer
Mar 3, 2011·International Journal of Epidemiology·Florencia Torche, Ghislaine Echevarría
May 26, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Dalya AlhamdanGeorge Condous
May 29, 2007·Seminars in Perinatology·Wendy L Kinzler, Lillian Kaminsky
Jan 13, 2005·Obstetrics and Gynecology Clinics of North America·Isaac Blickstein
May 19, 2006·American Journal of Obstetrics and Gynecology·Martin R ChavezAnthony M Vintzileos
Sep 28, 2006·Biological Research for Nursing·Judith A MaloniElizabeth G Damato

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