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Prospective Risk of Intrauterine Death of Monochorionic Twins: Update

2016Journal article Open access
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dc.contributor.authorSimões, T
dc.contributor.authorQueirós, A
dc.contributor.authorMarujo, AT
dc.contributor.authorValdoleiros, S
dc.contributor.authorSilva, P
dc.contributor.authorBlickstein, I
dc.date.accessioned2024-06-26T15:02:30Z
dc.date.available2024-06-26T15:02:30Z
dc.date.issued2016
dc.description.abstractObjective: To calculate an updated prospective risk of fetal death in monochorionic-biamniotic (MCBA) twins. Study design: We evaluated 520 MCBA twin pregnancies that had intensive prenatal surveillance and delivered in a single Portuguese referral center. The prospective risk of fetal death was calculated as the total number of deaths at the beginning of the gestational period divided by the number of continuing pregnancies at or beyond that period. Data were compared to the 2006 previous report. Results: Nearly 80% of the neonates weighed <2500 g, including 13.5% who weighed <1500 g. Half were born at <36 weeks, including 13.8% who were born at <32 weeks. The data indicate an increased IUFD rate over time - 16 fetal deaths per pregnancy (3.1%) and 22 IUFDs per fetus (2.1%). The rate of IUFD after 32-33 weeks, however, was halved (1/187 pregnancies and 1/365 fetuses, 0.5 and 0.3%, respectively). Conclusion: Intensive prenatal surveillance might decrease the unexpected fetal death rates after 33 week's gestation and our data do not support elective preterm birth for uncomplicated MCBA twins.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Perinat Med . 2016 Oct 1;44(8):871-874.pt_PT
dc.identifier.doi10.1515/jpm-2015-0319pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4940
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectMAC MED MAFpt_PT
dc.subjectAdultpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectFetal Death / etiology*pt_PT
dc.subjectFetal Death / prevention & controlpt_PT
dc.subjectPregnancypt_PT
dc.subjectLabor, Inducedpt_PT
dc.subjectPregnancy, Twin*pt_PT
dc.subjectRisk Factorspt_PT
dc.subjectProspective Studiespt_PT
dc.subjectTwins, Monozygotic*pt_PT
dc.titleProspective Risk of Intrauterine Death of Monochorionic Twins: Updatept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage874pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage871pt_PT
oaire.citation.titleJournal of Perinatal Medicinept_PT
oaire.citation.volume44pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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