...Jordan S. Stone; Aimen F. Shaaban; William A. Grobman; Ashish Premkumar Background: Selective fetoscopic laser photocoagulation (SFLP) is the preferred intervention for stage II-IV twin-twin transfusion syndrome (TTTS); however, there is no consensus on whether SFLP or expectant management (EM...

...). The univariate logistic regression analysis on the impact of GA at delivery on survival showed an odds ratio (OR) of 0.93 (0.9-0.96, p < 0.0001). The overall survival rate 4 weeks after delivery was 85% (84/99). For twin cases only, it was 84% (79/94). Four triplet cases had 2 survivors; thus...

... and consistent marker of cardiac dysfunction which becomes altered in early stages of chronic hypoxia or in cases with cardiac overload such as in twin-to-twin transfusion syndrome. Fig. 1 Mitral E/A waveform. Fig. 1. Mitral E/A waveform. Fig. 2 Tricuspid E/A waveform. Fig. 2. Tricuspid E...

...Mark I. Evans; T.K. Lau Introduction: Infertility therapies have markedly increased the incidence of multiple pregnancies and concomitantly monozygotic twinning. In utero death of one monozygotic twin predisposes the survivor to death and serious morbidity from hemodynamic collapse, thromboplastins...

...Didier R. Lemery; Joaquin Santolaya-Forgas; Anne F. Serreb; Guy H. Besse; Bernard Jacquetin Ten sets of diamniotic twins with discordant fetal growth (ultrasonographic estimated fetal weight difference > 25%) and abnormal amniotic fluid volume were assessed for fetal serum erythropoietin...

...Stuart M. Verdin; Jeffrey M. Braithwaite; Kevin Spencer; Demetrios L. Economides We present a case of a monozygotic twin pregnancy who underwent routine screening for chromosomal abnormalities at 14 weeks of gestation by ultrasonographic measurement of nuchal translucency and biochemical analysis...

...Arie Drugan; Yuval Yaron; June Murphy; Saleh A.D Ebrahim; Ralph L. Kramer; Mark P. Johnson; Mark I. Evans Objective: To evaluate the effect of fetal sex on the concentration of amniotic fluid alpha-fetoprotein (AF-AFP) in singletons and twins. Material and Methods: Amniocentesis was performed...

...Joaquin Santolaya; Steven L. Warsof Fetal hydrops due to Rh (D) alloimmunization can be reversed by ultrasound-guided intravascular transfusions with improvement in perinatal morbidity and mortality. We report a case of in utero intravascular transfusion in hydropic twins which reversed all...

...Barbara Luke; Louis G. Keith The process of monozygotic twinning in animals and humans is presented. In addition, congenital defects in monozygotic twins versus dizygotic twins and singletons is discussed. Overall, the rates of congenital anomalies are higher among whites as compared to blacks...

...P. Goldstein; W.S. Taylor; D. Zisow; B. Carson; E. Shuster; R. Brodner One of a pair of preterm twin fetuses was identified as having progressive hydrocephalus. After an extensive evaluation of the parents and both fetuses, a ventriculoamniotic shunt was placed. The affected twin, despite multiple...

... pregancies, as the data in various studies are somewhat confusing, possibly as a result of the small number of cases. The data so gathered were classified by the number of fetuses. Of 94 triplet pregnancies reduced to twins 91.6% survived. Of 108 quadruplet pregnancies reduced to twins 92.6% survived. Of 40...

...Arie Drugan; Joseph E. O’Brien; Raymond Gambino; Mark P. Johnson; Mark I. Evans The purpose of this study was to assess the need for race-specific maternal serum α-fetoprotein (MSAFP) curves in twin gestations. MSAFP values were evaluated in 535 samples obtained from twin gestations. Results were...

...Roberto Salmaso; Renzo Manara; Matteo Fassan; Maria Savina Severino; Silvia Visentin; Veronica Macchi; Erich Cosmi Background: Conjoined twins may present an extremely wide range of complex congenital malformations. Because of the increasing number of attempts to separate them surgically, profound...

... with a monochorionic-diamnionic twin pregnancy underwent selective termination at 20 4/7 weeks for severe twin-twin transfusion syndrome. Her fibrinogen thereafter decreased and she developed disseminated intravascular coagulopathy with pathological bleeding during a cesarean section. The maternal coagulopathy...

... and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Twins Zygosity Monochorionic Chimerism Ultrasound Etiology Monozygotic and dizygotic Fetal Diagn Ther 2005;20:20...

...Oluyinka O. Olutoye; Mark P. Johnson; Beverly G. Coleman; Timothy M. Crombleholme; N. Scott Adzick; Alan W. Flake Objective: To identify factors predictive of fetal demise in fetuses with sacrococcygeal teratoma (SCT). Method: The recent management of monochorionic twins discordant for a large SCT...

...Howard K. Kaufman; Roderick F. Hume Jr.; Byron C. Calhoun; Nancy Carlson; Victoria Yorke; Dawn Elliott; Mark I. Evans Objectives: To evaluate the pathophysiology by which the in utero death of 1 twin might increase morbidity to its co-twin survivor and its mother. To assess previously reported...

...Oluyinka O. Olutoye; Mark P. Johnson; Beverly G. Coleman; Timothy M. Crombleholme; N. Scott Adzick; Alan W. Flake Objective: To identify factors predictive of fetal demise in fetuses with sacrococcygeal teratoma (SCT). Method: The recent management of monochorionic twins discordant for a large SCT...

...Reuven Sharony; Arie Drugan; Aliza Amiel; Julia Grinshpun-Cohen; Shlomo Markov; Moshe D. Fejgin Objectives: To examine the assumption that amniotic fluid alpha-fetoprotein (AFAFP) levels are different in female and male twin fetuses. Design: Amniotic fluid levels of AFP in pregnancies with female...

...Kirsten Søgaard; Lillian Skibsted; Vibeke Brocks Twin gestation is often a hazardous pregnancy and especially the monochorionic twin pregnancy significantly contributes to fetal morbidity and mortality. Among the serious complications with twins, the twin-twin transfusion syndrome complicates 5–35...