Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria?
One hundred seventy-eight consecutive twin pregnancies were studied to reevaluate the standard diagnostic criteria for chronic twin-to-twin transfusion syndrome of an intertwin hemoglobin difference >5 gm/dl and a birth weight difference >20%. Hemoglobin differences>5 gm/dl were found in si...
Gespeichert in:
| Veröffentlicht in: | American journal of obstetrics and gynecology 1989-08, Vol.161 (2), p.365-369 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 369 |
|---|---|
| container_issue | 2 |
| container_start_page | 365 |
| container_title | American journal of obstetrics and gynecology |
| container_volume | 161 |
| creator | Danskin, Fiona H. Neilson, James P. |
| description | One hundred seventy-eight consecutive twin pregnancies were studied to reevaluate the standard diagnostic criteria for chronic twin-to-twin transfusion syndrome of an intertwin hemoglobin difference >5 gm/dl and a birth weight difference >20%. Hemoglobin differences>5 gm/dl were found in six pregnancies with monochorionic placentas but also in seven with dichorionic placentas. Birth weight differences >20% occurred no more commonly in monochorionic than in dichorionic pregnancies. Of the four pregnancies with a coexisting hemoglobin difference >5 gm/dl and birth weight difference >20%, only one had a monochorionic placenta and therefore likelihood of vascular anastomoses. Diagnosis of twin-to-twin transfusion syndrome cannot be definitively established by current standard diagnostic criteria. |
| doi_str_mv | 10.1016/0002-9378(89)90521-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79161298</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>0002937889905218</els_id><sourcerecordid>79161298</sourcerecordid><originalsourceid>FETCH-LOGICAL-c386t-28a5ae7782c587b2a8cc5b53e81715ad55f2653df88687367165d0ce81dd97383</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMotVb_gcIeRPSwmmSbLw-KFL-g4KXiMaTJrEba3ZqkSv-9WVt69DQk7zPDzIPQMcGXBBN-hTGmpaqEPJfqQmFGSSl3UJ9gJUouudxF_S2yjw5i_OyeVNEe6lHBh5ixPhpPfnxTprZMuRYpmCbWy-jbpoirxoV2DtfF24dJhQlQmMUitIvgTYLCefPetDF5W9jgE-Tf20O0V5tZhKNNHaDXh_vJ6Kkcvzw-j-7Gpa0kTyWVhhkQQlLLpJhSI61lU1aBJIIw4xirKWeVq2W-QlRcEM4ctjl2TolKVgN0tp6b1_laQkx67qOF2cw00C6jFopwQlUHDtegDW2MAWqdt5-bsNIE606i7pTozpCWSv9J1F3byWb-cjoHt23aWMv56SY30ZpZna1ZH7cYZ3KouMjYzRqD7OLbQ9DRemgsOB_AJu1a__8ev9pVjT8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79161298</pqid></control><display><type>article</type><title>Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria?</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Danskin, Fiona H. ; Neilson, James P.</creator><creatorcontrib>Danskin, Fiona H. ; Neilson, James P.</creatorcontrib><description>One hundred seventy-eight consecutive twin pregnancies were studied to reevaluate the standard diagnostic criteria for chronic twin-to-twin transfusion syndrome of an intertwin hemoglobin difference >5 gm/dl and a birth weight difference >20%. Hemoglobin differences>5 gm/dl were found in six pregnancies with monochorionic placentas but also in seven with dichorionic placentas. Birth weight differences >20% occurred no more commonly in monochorionic than in dichorionic pregnancies. Of the four pregnancies with a coexisting hemoglobin difference >5 gm/dl and birth weight difference >20%, only one had a monochorionic placenta and therefore likelihood of vascular anastomoses. Diagnosis of twin-to-twin transfusion syndrome cannot be definitively established by current standard diagnostic criteria.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(89)90521-8</identifier><identifier>PMID: 2764055</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Biological and medical sciences ; Birth Weight ; diagnosis ; Diseases of mother, fetus and pregnancy ; Female ; Fetofetal Transfusion - blood ; Fetofetal Transfusion - diagnosis ; Gynecology. Andrology. Obstetrics ; Hemoglobins - analysis ; Humans ; Infant, Newborn ; Medical sciences ; Pregnancy ; Pregnancy, Multiple ; Pregnancy. Fetus. Placenta ; Twin pregnancy ; twin-to-twin transfusion syndrome ; Twins, Dizygotic ; Twins, Monozygotic ; Veins</subject><ispartof>American journal of obstetrics and gynecology, 1989-08, Vol.161 (2), p.365-369</ispartof><rights>1989 Mosby</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-28a5ae7782c587b2a8cc5b53e81715ad55f2653df88687367165d0ce81dd97383</citedby><cites>FETCH-LOGICAL-c386t-28a5ae7782c587b2a8cc5b53e81715ad55f2653df88687367165d0ce81dd97383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002937889905218$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6584967$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2764055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Danskin, Fiona H.</creatorcontrib><creatorcontrib>Neilson, James P.</creatorcontrib><title>Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria?</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>One hundred seventy-eight consecutive twin pregnancies were studied to reevaluate the standard diagnostic criteria for chronic twin-to-twin transfusion syndrome of an intertwin hemoglobin difference >5 gm/dl and a birth weight difference >20%. Hemoglobin differences>5 gm/dl were found in six pregnancies with monochorionic placentas but also in seven with dichorionic placentas. Birth weight differences >20% occurred no more commonly in monochorionic than in dichorionic pregnancies. Of the four pregnancies with a coexisting hemoglobin difference >5 gm/dl and birth weight difference >20%, only one had a monochorionic placenta and therefore likelihood of vascular anastomoses. Diagnosis of twin-to-twin transfusion syndrome cannot be definitively established by current standard diagnostic criteria.</description><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>diagnosis</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetofetal Transfusion - blood</subject><subject>Fetofetal Transfusion - diagnosis</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy, Multiple</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Twin pregnancy</subject><subject>twin-to-twin transfusion syndrome</subject><subject>Twins, Dizygotic</subject><subject>Twins, Monozygotic</subject><subject>Veins</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gcIeRPSwmmSbLw-KFL-g4KXiMaTJrEba3ZqkSv-9WVt69DQk7zPDzIPQMcGXBBN-hTGmpaqEPJfqQmFGSSl3UJ9gJUouudxF_S2yjw5i_OyeVNEe6lHBh5ixPhpPfnxTprZMuRYpmCbWy-jbpoirxoV2DtfF24dJhQlQmMUitIvgTYLCefPetDF5W9jgE-Tf20O0V5tZhKNNHaDXh_vJ6Kkcvzw-j-7Gpa0kTyWVhhkQQlLLpJhSI61lU1aBJIIw4xirKWeVq2W-QlRcEM4ctjl2TolKVgN0tp6b1_laQkx67qOF2cw00C6jFopwQlUHDtegDW2MAWqdt5-bsNIE606i7pTozpCWSv9J1F3byWb-cjoHt23aWMv56SY30ZpZna1ZH7cYZ3KouMjYzRqD7OLbQ9DRemgsOB_AJu1a__8ev9pVjT8</recordid><startdate>19890801</startdate><enddate>19890801</enddate><creator>Danskin, Fiona H.</creator><creator>Neilson, James P.</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>19890801</creationdate><title>Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria?</title><author>Danskin, Fiona H. ; Neilson, James P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-28a5ae7782c587b2a8cc5b53e81715ad55f2653df88687367165d0ce81dd97383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>diagnosis</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetofetal Transfusion - blood</topic><topic>Fetofetal Transfusion - diagnosis</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy, Multiple</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Twin pregnancy</topic><topic>twin-to-twin transfusion syndrome</topic><topic>Twins, Dizygotic</topic><topic>Twins, Monozygotic</topic><topic>Veins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Danskin, Fiona H.</creatorcontrib><creatorcontrib>Neilson, James P.</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>Danskin, Fiona H.</au><au>Neilson, James P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria?</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1989-08-01</date><risdate>1989</risdate><volume>161</volume><issue>2</issue><spage>365</spage><epage>369</epage><pages>365-369</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>One hundred seventy-eight consecutive twin pregnancies were studied to reevaluate the standard diagnostic criteria for chronic twin-to-twin transfusion syndrome of an intertwin hemoglobin difference >5 gm/dl and a birth weight difference >20%. Hemoglobin differences>5 gm/dl were found in six pregnancies with monochorionic placentas but also in seven with dichorionic placentas. Birth weight differences >20% occurred no more commonly in monochorionic than in dichorionic pregnancies. Of the four pregnancies with a coexisting hemoglobin difference >5 gm/dl and birth weight difference >20%, only one had a monochorionic placenta and therefore likelihood of vascular anastomoses. Diagnosis of twin-to-twin transfusion syndrome cannot be definitively established by current standard diagnostic criteria.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>2764055</pmid><doi>10.1016/0002-9378(89)90521-8</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1989-08, Vol.161 (2), p.365-369 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79161298 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Birth Weight diagnosis Diseases of mother, fetus and pregnancy Female Fetofetal Transfusion - blood Fetofetal Transfusion - diagnosis Gynecology. Andrology. Obstetrics Hemoglobins - analysis Humans Infant, Newborn Medical sciences Pregnancy Pregnancy, Multiple Pregnancy. Fetus. Placenta Twin pregnancy twin-to-twin transfusion syndrome Twins, Dizygotic Twins, Monozygotic Veins |
| title | Twin-to-twin transfusion syndrome: What are appropriate diagnostic criteria? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T00%3A29%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Twin-to-twin%20transfusion%20syndrome:%20What%20are%20appropriate%20diagnostic%20criteria?&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Danskin,%20Fiona%20H.&rft.date=1989-08-01&rft.volume=161&rft.issue=2&rft.spage=365&rft.epage=369&rft.pages=365-369&rft.issn=0002-9378&rft.eissn=1097-6868&rft.coden=AJOGAH&rft_id=info:doi/10.1016/0002-9378(89)90521-8&rft_dat=%3Cproquest_cross%3E79161298%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79161298&rft_id=info:pmid/2764055&rft_els_id=0002937889905218&rfr_iscdi=true |