Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1242
Título: Prospective Risk of Intrauterine Death of Monochorionic-Diamniotic Twins
Autor: Simões, T
Amaral, N
Lerman, R
Ribeiro, F
Dias, E
Blickstein, I
Palavras-chave: Cardiotocografia
Córion
Doenças em Gémeos
Morte Fetal
Idade Gestacional
Estudos Retrospectivos
Anormalidades
Data: 2006
Editora: Elsevier
Citação: Am J Obstet Gynecol. 2006 Jul;195(1):134-9
Resumo: OBJECTIVE: The purpose of this study was to calculate the prospective risk of fetal death in monochorionic-diamniotic twins. STUDY DESIGN: We evaluated 193 monochorionic diamniotic twin pregnancies that were followed and delivered after 24 weeks. Surveillance included cardiotocography and sonography performed at least once weekly. 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. RESULTS: The fetal death rate was 5 of 193 pregnancies (2.6%; 95% CI, 1.1, 5.9); the prospective risk of stillbirth per pregnancy after 32 weeks of gestation was 1.2% (95% CI, 0.3% - 4.2%). CONCLUSION: Under intensive surveillance, the prospective risk of fetal death in monochorionic-diamniotic pregnancies after 32 weeks of gestation is much lower than reported and does not support a policy of elective preterm delivery.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1242
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