Monochorionic twin pregnancy: screening, pathogenesis of complications and management in the era of microinvasive fetal surgery

Journal of Perinatal Medicine
Michael Tchirikov

Abstract

The management of monochorionic (MC) twin pregnancies varies in different medical centers. This paper compares screening methods to predict the complications of the MC twin pregnancy and different treatment methods. We performed a literature search without language restriction in Cochrane library and PubMed (1970-2009). Case series and cohort screening studies, pathogenesis and management of complications of MC pregnancy were included. Elevated risk for intrauterine fetal death (IUFD) and twin-to-twin transfusion syndrome (TTTS) can be detected sonographically. Monitoring of MC pregnancies at increased risk and regular training sessions for the operating team combined with reduced fetoscopic amniotic membrane damage increase fetal survival rate from laser coagulation to nearly 100% for at least one fetus and to 90% for both. Monitoring of MC pregnancies at increased risk and laser treatment of TTTS in medical centers with sufficient experience might improve neonatal outcome.

References

Oct 23, 1997·British Journal of Obstetrics and Gynaecology·N J SebireK H Nicolaides
Dec 16, 1997·American Journal of Obstetrics and Gynecology·J F RodisW A Campbell
Mar 24, 1998·Prenatal Diagnosis·K R DuncanN M Fisk
Dec 16, 1998·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·K C ObergE P Hawkins
Jan 25, 2000·Journal of Perinatology : Official Journal of the California Perinatal Association·R A QuinteroM Kruger
Nov 21, 2000·Obstetrics and Gynecology·I BlicksteinR Mazkereth
Jan 26, 2002·American Journal of Obstetrics and Gynecology·Rekha BajoriaRatna Chatterjee
Oct 18, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M-V SenatY Ville
Mar 8, 2003·Gynecologic and Obstetric Investigation·Luis A Bracero, Daniel W Byrne
Jul 16, 2003·American Journal of Obstetrics and Gynecology·Rekha BajoriaRatna Chatterjee
Aug 13, 2003·Prenatal Diagnosis·D Mahieu-CaputoM Dommergues
Sep 10, 2003·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·H RoquéC J Lockwood
Jan 24, 2004·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·T MurakoshiM H Allen
Mar 24, 2004·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rekha BajoriaSuren R Sooranna
Jul 9, 2004·The New England Journal of Medicine·Marie-Victoire SenatYves Ville
Aug 3, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E GratacósJ Deprest
Feb 3, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C Lees, H Baumgartner
Apr 23, 2005·American Journal of Obstetrics and Gynecology·Rubén A QuinteroJorge Arroyo
May 10, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H VandecruysK H Nicolaides
Sep 10, 2005·American Journal of Obstetrics and Gynecology·Marieke SuetersFrank P H A Vandenbussche
Apr 4, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·O CavicchioniY Ville
Apr 29, 2006·American Journal of Obstetrics and Gynecology·Andrea L FickGeoffrey A Machin
Sep 27, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L SperlingA Tabor
Sep 27, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L PasquiniN M Fisk
Sep 27, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J NizardY Ville
Feb 3, 2007·Obstetrics and Gynecology·Koji MatsuoAhmet A Baschat
Apr 21, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K O KaganK H Nicolaides
Sep 1, 2007·Seminars in Fetal & Neonatal Medicine·Zoi RussellEftichia V Kontopoulos
Oct 24, 2007·Seminars in Fetal & Neonatal Medicine·Masami Yamamoto, Yves Ville
Mar 12, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A HuberK Hecher
Apr 9, 2008·American Journal of Obstetrics and Gynecology·Juan Pedro KusanovicSonia S Hassan
May 1, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·J Rujiwetpongstorn, T Tongsong
May 31, 2008·American Journal of Obstetrics and Gynecology·A Cristina Rossi, Vincenzo D'Addario
Jan 22, 2009·Obstetrics and Gynecology·Karien E HackGerard H Visser
Mar 24, 2009·Obstetrics and Gynecology·Nerea MaizKypros H Nicolaides

❮ Previous
Next ❯

Citations

Aug 27, 2011·Journal of Perinatal Medicine·Michael TchirikovMichael Entezami
Nov 30, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K Agarwal, Z Alfirevic
Apr 2, 2014·Prenatal Diagnosis·Vani C Movva, Asha Rijhsinghani
Mar 27, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Michael TchirikovVolker Thäle
Jan 22, 2014·Journal of Perinatal Medicine·Maria Angelica ZoppiGiovanni Monni

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.