Pregnancy Outcomes following Bipolar Umbilical Cord Cauterization for Selective Termination in Complicated Monochorionic Multiple Gestations
Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric d...
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| Veröffentlicht in: | Fetal diagnosis and therapy 2008-01, Vol.23 (2), p.153-158 |
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| creator | Ilagan, John G. Wilson, R. Douglas Bebbington, Michael Johnson, Mark P. Hedrick, Holly L. Liechty, Kenneth W. Adzick, N. Scott |
| description | Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. Results: UCC was performed at 21.2 ± 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 ± 4.7 weeks. Mean birth weight was 2,218 ± 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. Conclusion: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies. |
| doi_str_mv | 10.1159/000111598 |
| format | Article |
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Douglas ; Bebbington, Michael ; Johnson, Mark P. ; Hedrick, Holly L. ; Liechty, Kenneth W. ; Adzick, N. Scott</creator><creatorcontrib>Ilagan, John G. ; Wilson, R. Douglas ; Bebbington, Michael ; Johnson, Mark P. ; Hedrick, Holly L. ; Liechty, Kenneth W. ; Adzick, N. Scott</creatorcontrib><description>Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. Results: UCC was performed at 21.2 ± 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 ± 4.7 weeks. Mean birth weight was 2,218 ± 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. Conclusion: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.</description><identifier>ISSN: 1015-3837</identifier><identifier>EISSN: 1421-9964</identifier><identifier>DOI: 10.1159/000111598</identifier><identifier>PMID: 18042995</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Biological and medical sciences ; Cautery - instrumentation ; Cautery - methods ; Delivery. Postpartum. Lactation ; Diseases of mother, fetus and pregnancy ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Medical sciences ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - epidemiology ; Pregnancy Outcome - epidemiology ; Pregnancy Reduction, Multifetal - instrumentation ; Pregnancy Reduction, Multifetal - methods ; Pregnancy, Multiple ; Pregnancy. Fetus. Placenta ; Retrospective Studies ; Umbilical Cord - blood supply ; Umbilical Cord - surgery</subject><ispartof>Fetal diagnosis and therapy, 2008-01, Vol.23 (2), p.153-158</ispartof><rights>2007 S. Karger AG, Basel</rights><rights>2008 INIST-CNRS</rights><rights>Copyright 2007 S. Karger AG, Basel.</rights><rights>Copyright (c) 2008 S. 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Douglas</creatorcontrib><creatorcontrib>Bebbington, Michael</creatorcontrib><creatorcontrib>Johnson, Mark P.</creatorcontrib><creatorcontrib>Hedrick, Holly L.</creatorcontrib><creatorcontrib>Liechty, Kenneth W.</creatorcontrib><creatorcontrib>Adzick, N. Scott</creatorcontrib><title>Pregnancy Outcomes following Bipolar Umbilical Cord Cauterization for Selective Termination in Complicated Monochorionic Multiple Gestations</title><title>Fetal diagnosis and therapy</title><addtitle>Fetal Diagn Ther</addtitle><description>Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. Results: UCC was performed at 21.2 ± 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 ± 4.7 weeks. Mean birth weight was 2,218 ± 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. Conclusion: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cautery - instrumentation</subject><subject>Cautery - methods</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy Reduction, Multifetal - instrumentation</subject><subject>Pregnancy Reduction, Multifetal - methods</subject><subject>Pregnancy, Multiple</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><subject>Umbilical Cord - blood supply</subject><subject>Umbilical Cord - surgery</subject><issn>1015-3837</issn><issn>1421-9964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0U1LHTEUBuBQKtVaF-6lhEIFF1PzMV9ZtpdWC4qCuh4yZ869jc0k02Smxf6G_mgzzkWhqxzIk3OSvIQccvaJ80KdMsb4XNSvyB7PBc-UKvPXqWa8yGQtq13yNsb7xOpKlm_ILq9ZLpQq9si_64Abpx080KtpBN9jpGtvrf9j3IZ-MYO3OtC7vjXWgLZ05UNHV3oaMZi_ejTeJR7oDVqE0fxGeouhN27ZMS75fphPjtjRS-88_PAhbRmgl5MdzWCRnmEcn3x8R3bW2kY82K775O7b19vVeXZxdfZ99fkiA1nyMePYQdUyUFVbdF1ZqpznstSCdYCihkoIkV6qQHHgWLYFCN6yikldowLUSu6T46XvEPyvKY1vehMBrdUO_RSbZPNciRl--A_e-ym4dLcmDRFVIRVP6GRBEHyMAdfNEEyvw0PDWTPH0jznk-z7bcOp7bF7kdtAEvi4BTqm_16HFI2Jz06kRjKv5qFHi_upwwbDS6NlziNR-qKl</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Ilagan, John G.</creator><creator>Wilson, R. 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Douglas ; Bebbington, Michael ; Johnson, Mark P. ; Hedrick, Holly L. ; Liechty, Kenneth W. ; Adzick, N. Scott</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-1edc7b0c97b5dd66941436a20dce28c72220089c91c1e6b5c21b0703a8e9cea93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cautery - instrumentation</topic><topic>Cautery - methods</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Pregnancy Reduction, Multifetal - instrumentation</topic><topic>Pregnancy Reduction, Multifetal - methods</topic><topic>Pregnancy, Multiple</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Retrospective Studies</topic><topic>Umbilical Cord - blood supply</topic><topic>Umbilical Cord - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ilagan, John G.</creatorcontrib><creatorcontrib>Wilson, R. Douglas</creatorcontrib><creatorcontrib>Bebbington, Michael</creatorcontrib><creatorcontrib>Johnson, Mark P.</creatorcontrib><creatorcontrib>Hedrick, Holly L.</creatorcontrib><creatorcontrib>Liechty, Kenneth W.</creatorcontrib><creatorcontrib>Adzick, N. 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Douglas</au><au>Bebbington, Michael</au><au>Johnson, Mark P.</au><au>Hedrick, Holly L.</au><au>Liechty, Kenneth W.</au><au>Adzick, N. Scott</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy Outcomes following Bipolar Umbilical Cord Cauterization for Selective Termination in Complicated Monochorionic Multiple Gestations</atitle><jtitle>Fetal diagnosis and therapy</jtitle><addtitle>Fetal Diagn Ther</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>23</volume><issue>2</issue><spage>153</spage><epage>158</epage><pages>153-158</pages><issn>1015-3837</issn><eissn>1421-9964</eissn><abstract>Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. Results: UCC was performed at 21.2 ± 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 ± 4.7 weeks. Mean birth weight was 2,218 ± 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. Conclusion: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>18042995</pmid><doi>10.1159/000111598</doi><tpages>6</tpages></addata></record> |
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| source | Karger Journal Archive Collection; MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Cautery - instrumentation Cautery - methods Delivery. Postpartum. Lactation Diseases of mother, fetus and pregnancy Female General aspects Gynecology. Andrology. Obstetrics Humans Infant, Newborn Medical sciences Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - epidemiology Pregnancy Outcome - epidemiology Pregnancy Reduction, Multifetal - instrumentation Pregnancy Reduction, Multifetal - methods Pregnancy, Multiple Pregnancy. Fetus. Placenta Retrospective Studies Umbilical Cord - blood supply Umbilical Cord - surgery |
| title | Pregnancy Outcomes following Bipolar Umbilical Cord Cauterization for Selective Termination in Complicated Monochorionic Multiple Gestations |
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