Selective delivery in a twin gestation
One or more infants of a multifetal pregnancy occasionally require delivery selectively because of in utero risk of fetal death in circumstances in which the sibling fetus appears well. At 26 weeks 5 days of gestation a small fundally placed twin in a dichorionic gestation had an estimated fetal wei...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1998-07, Vol.179 (1), p.264-265 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 179 |
| creator | Porreco, Richard P. Sabin, Eleanor Diss Heyborne, Kent D. Lingle, James R. |
| description | One or more infants of a multifetal pregnancy occasionally require delivery selectively because of in utero risk of fetal death in circumstances in which the sibling fetus appears well. At 26 weeks 5 days of gestation a small fundally placed twin in a dichorionic gestation had an estimated fetal weight of 650 g with decreased amniotic fluid and ominous Doppler velocity findings in his umbilical artery. A normally grown presenting sibling had reassuring fetal surveillance data. Over a 2-week interval the growth-restricted twin showed no growth, and his status deteriorated. He was selectively delivered by hysterotomy. Selective delivery may offer parents of multifetal gestations an additional option when 1 or more of their fetuses are at high risk for in utero death. (Am J Obstet Gynecol 1998;179:264-5.) |
| doi_str_mv | 10.1016/S0002-9378(98)70285-6 |
| format | Article |
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At 26 weeks 5 days of gestation a small fundally placed twin in a dichorionic gestation had an estimated fetal weight of 650 g with decreased amniotic fluid and ominous Doppler velocity findings in his umbilical artery. A normally grown presenting sibling had reassuring fetal surveillance data. Over a 2-week interval the growth-restricted twin showed no growth, and his status deteriorated. He was selectively delivered by hysterotomy. Selective delivery may offer parents of multifetal gestations an additional option when 1 or more of their fetuses are at high risk for in utero death. (Am J Obstet Gynecol 1998;179:264-5.)</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Delivery, Obstetric - methods</subject><subject>Diseases in Twins</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetal Death - prevention & control</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Risk Factors</subject><subject>Selective delivery</subject><subject>twins</subject><subject>Uterus - surgery</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotVZ_QqEHKXpYTTbZTXISKX5BwUP1HPIxK5Htbk22lf5703bp1dPLMM_MJA9CY4LvCCbl_QJjnGeScnEjxS3HuSiy8gQNCZY8K0UpTtHwiJyjixi_d2Uu8wEaSI6ZwHiIpguowXZ-AxMHdYqwnfhmoifdb4oviJ3ufNtcorNK1xGu-hyhz-enj9lrNn9_eZs9zjNLhewyo52gxGJDuOTaECOFKyphncBOE0cKwyhgzMqyNMRK0Jpz68DgghTaMklHaHrYuwrtzzpdV0sfLdS1bqBdR8WpYLTgLIHFAbShjTFApVbBL3XYKoLVzo_a-1G7zysp1N6PKtPcuD-wNktwx6leSOpf930dra6roBvr4xHLKZOS0YQ9HDBIMjYegorWQ2PB-ZB0Ktf6fx7yBwGYgLU</recordid><startdate>19980701</startdate><enddate>19980701</enddate><creator>Porreco, Richard P.</creator><creator>Sabin, Eleanor Diss</creator><creator>Heyborne, Kent D.</creator><creator>Lingle, James R.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980701</creationdate><title>Selective delivery in a twin gestation</title><author>Porreco, Richard P. ; Sabin, Eleanor Diss ; Heyborne, Kent D. ; Lingle, James R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-bad831c0b1797ab1b98d5f8cd80da1d15b43e004666b1c9eaa77cdeb0515ac493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Delivery, Obstetric - methods</topic><topic>Diseases in Twins</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetal Death - prevention & control</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Risk Factors</topic><topic>Selective delivery</topic><topic>twins</topic><topic>Uterus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Porreco, Richard P.</creatorcontrib><creatorcontrib>Sabin, Eleanor Diss</creatorcontrib><creatorcontrib>Heyborne, Kent D.</creatorcontrib><creatorcontrib>Lingle, James R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Porreco, Richard P.</au><au>Sabin, Eleanor Diss</au><au>Heyborne, Kent D.</au><au>Lingle, James R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Selective delivery in a twin gestation</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>179</volume><issue>1</issue><spage>264</spage><epage>265</epage><pages>264-265</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>One or more infants of a multifetal pregnancy occasionally require delivery selectively because of in utero risk of fetal death in circumstances in which the sibling fetus appears well. 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| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1998-07, Vol.179 (1), p.264-265 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Biological and medical sciences Delivery, Obstetric - methods Diseases in Twins Diseases of mother, fetus and pregnancy Female Fetal Death - prevention & control Gestational Age Gynecology. Andrology. Obstetrics Humans Medical sciences Pregnancy Pregnancy. Fetus. Placenta Risk Factors Selective delivery twins Uterus - surgery |
| title | Selective delivery in a twin gestation |
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