Prevalencia y complicaciones del embarazo gemelar monocorial biamniótico

Torres-Torres, Cutberto; Pérez-Borbón, Guadalupe; Benavides-Serralde, Jesús Andrés; Guzmán-Huerta, Mario E.; Hernández-Andrade, Edgar
March 2010
Ginecologia y Obstetricia de Mexico;mar2010, Vol. 78 Issue 3, p181
Academic Journal
Background: Monochorionic biamniotic (MC/BA) twin pregnancies are at higher risk for twin-to-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR) and structural defects. Material and method: During an 18 months period all MC/BA twins referred to our unit for clinical surveillance were evaluated. Chorionicity was assessed based on the characteristics of the intertwin amniotic membrane. MC complicated cases were labeled either as, TTTS or sIUGR and classified according to severity. All cases were closely evaluated for structural defects. Results: There were 34 MC/BA pregnancies, from them 20 presented TTTS, 6 in a moderate stage of severity, and 14 severely affected. Four cases had sIUGR, all severely affected. Four pregnancies showed a structural defect, 2 cardiac, 1 urological, and 1 open neural tube defect. Six twin MC / BA pregnancies underwent gestation without complications. Conclusion: The presence of a MC / BA twin pregnancy warrants close monitoring, including a detailed anatomical review and hemodynamic assessment of the umbilical arteries and ductus venosus of both twins.


Related Articles

  • Prevalencia y complicaciones del embarazo gemelar monocorial biamniótico. Torres-Torres, Cutberto; Pérez-Borbón, Guadalupe; Andrés Benavides-Serralde, Jesús; Guzmán-Huerta, Mario E.; Hernández-Andrade, Edgar // Ginecologia y Obstetricia de Mexico;feb2010, Vol. 78 Issue 2, p181 

    Background: Monochorionic biamniotic (MC/BA) twin pregnancies are at higher risk for twin-to-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR) and structural defects. Material and method: During an 18 months period all MC/BA twins referred to our unit for...

  • Arteritis de Takayasu en el embarazo: reporte de siete casos. Antonio Hernández-Pacheco, José; Estrada-Altamirano, Ariel; Valenzuela-Jirón, Arlen; Luis Maya-Quiñones, José; Andrés Carvajal-Valencia, Javier; Rogerio Chacón-Solís, Armando // Ginecologia y Obstetricia de Mexico;mar2011, Vol. 79 Issue 3, p143 

    Takayasu's arteritis is a chronic and non-specific disease of young women in reproductive age that primarily affects the aorta, its branches and the pulmonary artery. Ramírez Cueto G. and Fernandez Del Castillo C. et al. published a case of pregnancy in Mexico and Takayasu's arteritis in...

  • Assessed occupational exposure to chlorinated, aromatic and Stoddard solvents during pregnancy and risk of fetal growth restriction. Desrosiers, Tania A.; Lawson, Christina C.; Meyer, Robert E.; Stewart, Patricia A.; Waters, Martha A.; Correa, Adolfo; Olshan, Andrew F. // Occupational & Environmental Medicine;Aug2015, Vol. 72 Issue 8, p587 

    Objectives Previous experimental and epidemiological research suggests that maternal exposure to some organic solvents during pregnancy may increase the risk of fetal growth restriction (FGR). We evaluated the association between expert-assessed occupational solvent exposure and risk of small...

  • Fetal growth and maternal exposure to particulate matter during pregnancy. Dejmek, Jan; Selevan, Sherry G.; Benes, Ivan; Solansky, Ivo; Sram, Radim J. // Environmental Health Perspectives;Jun1999, Vol. 107 Issue 6, p475 

    Examines the possible impact of particulate matter (PM) or pollutants on intrauterine growth retardation risk in a highly polluted area in Teplice District in Czechoslovakia. Calculation of mean concentration of pollutants for each month of gestation; Odds ratios for different levels of IUGR.

  • Metoclopramide in Pregnancy and Risk of Major Congenital Malformations and Fetal Death. Pasternak, Björn; Svanström, Henrik; Mølgaard-Nielsen, Ditte; Melbye, Mads; Hviid, Anders // JAMA: Journal of the American Medical Association;10/16/2013, Vol. 310 Issue 15, p1601 

    IMPORTANCE Metoclopramide, a drug frequently used for nausea and vomiting in pregnancy, is thought to be safe, but information on the risk of specific malformations and fetal death is lacking. OBJECTIVE To investigate the safety ofmetoclopramide use in pregnancy. DESIGN, SETTING, AND...

  • Environmental tobacco smoke and low birth weight: A hazard in the workplace? Misra, Dawn P.; Nguyen, Ruby H.N. // Environmental Health Perspectives Supplements;Dec99 Supplement 6, Vol. 107, p897 

    Presents literature on the effects of environmental tobacco smoke (ETS) on low birth weight (LBW) and intrauterine growth retardation. Exposure measure; Critical period of ETS exposure; Dose-response relationship for ETS exposure and LBW.

  • Risk factors for term intrauterine growth retardation: a community-based study in Karachi. Fikree, F. F.; Berendes, H. W. // Bulletin of the World Health Organization;1994, Vol. 72 Issue 4, p581 

    Reported are the results of a community-based prospective study in four urban squatter settlements in Karachi that was carried out to assess the incidence of and risk factors for intrauterine growth retardation. The incidence of term intrauterine growth retardation was 24.4% among 738 singleton...

  • Relation of caffeine intake and blood caffeine concentrations during pregnancy to fetal growth: prospective population based study. Cook, Derek G; Peacock, Janet L; Carey, Iain M; Anderson, H Ross; Bland, J Martin; Feyerabend, Colin; Jarvis, Martin J // BMJ: British Medical Journal (International Edition);11/30/96, Vol. 313 Issue 7069, p1358 

    Investigates the impact of caffeine intake and blood caffeine concentrations during pregnancy on the growth of the fetus. Relation between caffeine intake and blood caffeine concentrations; Comparison between smokers and non-smokers in relation to caffeine intake; Relation between caffeine...

  • Clinical digest. UNNECESSARY INDUCTION OF LABOUR INCREASES RISK OF COMPLICATIONS.  // Nursing Standard;4/4/2012, Vol. 26 Issue 31, p14 

    The article discusses research which was reported in the article "Maternal and Neonatal Outcomes Following Induction of Labor: A Cohort Study" by R. M. Grivell et al. and found that the unnecessary induction of labor in pregnant women increases the risk of complications.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics