Counselling in Fetal Medicine: Complications of Monochorionic Diamniotic Twin Pregnancies
Twin pregnancies are at increased risk of morbidity and mortality compared to singletons. Among all twins, monochorionic pregnancies are at higher risk of specific and non-specific complications compared to dichorionic pregnancies. Therefore, it is of great importance to properly counsel future pare...
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| Veröffentlicht in: | Journal of clinical medicine 2024-12, Vol.13 (23), p.7295 |
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| creator | Sorrenti, Sara Khalil, Asma D'Antonio, Francesco D'Ambrosio, Valentina Zullo, Fabrizio D'Alberti, Elena Derme, Martina Mappa, Ilenia Di Mascio, Daniele Rizzo, Giuseppe Giancotti, Antonella |
| description | Twin pregnancies are at increased risk of morbidity and mortality compared to singletons. Among all twins, monochorionic pregnancies are at higher risk of specific and non-specific complications compared to dichorionic pregnancies. Therefore, it is of great importance to properly counsel future parents with monochorionic pregnancies regarding the risks of adverse outcomes and the modalities of monitoring and intervention of the potential complications. Conditions related to the monochorionicity include twin-to-twin transfusion syndrome (TTTS), twin reversed arterial perfusion sequence (TRAP), and twin anemia polycythemia syndrome (TAPS); other complications include selective fetal growth restriction (sFGR) and congenital anomalies. This review aims to summarize the information available in the current literature regarding the complications in monochorionic diamniotic twin pregnancies, including outcomes and guideline recommendations about the clinical surveillance, management, and timing of interventions of these conditions that should be included in counselling in routine clinical practice. |
| doi_str_mv | 10.3390/jcm13237295 |
| format | Article |
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Among all twins, monochorionic pregnancies are at higher risk of specific and non-specific complications compared to dichorionic pregnancies. Therefore, it is of great importance to properly counsel future parents with monochorionic pregnancies regarding the risks of adverse outcomes and the modalities of monitoring and intervention of the potential complications. Conditions related to the monochorionicity include twin-to-twin transfusion syndrome (TTTS), twin reversed arterial perfusion sequence (TRAP), and twin anemia polycythemia syndrome (TAPS); other complications include selective fetal growth restriction (sFGR) and congenital anomalies. This review aims to summarize the information available in the current literature regarding the complications in monochorionic diamniotic twin pregnancies, including outcomes and guideline recommendations about the clinical surveillance, management, and timing of interventions of these conditions that should be included in counselling in routine clinical practice.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13237295</identifier><identifier>PMID: 39685753</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Ablation ; Birth defects ; Births ; Care and treatment ; Cohort analysis ; Fetal diseases ; Fetuses ; Health aspects ; Heart ; Meta-analysis ; Nervous system ; Pregnancy complications ; Pregnancy, Multiple ; Review ; Risk factors ; Surveillance ; Twins ; Ultrasonic imaging</subject><ispartof>Journal of clinical medicine, 2024-12, Vol.13 (23), p.7295</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Among all twins, monochorionic pregnancies are at higher risk of specific and non-specific complications compared to dichorionic pregnancies. Therefore, it is of great importance to properly counsel future parents with monochorionic pregnancies regarding the risks of adverse outcomes and the modalities of monitoring and intervention of the potential complications. Conditions related to the monochorionicity include twin-to-twin transfusion syndrome (TTTS), twin reversed arterial perfusion sequence (TRAP), and twin anemia polycythemia syndrome (TAPS); other complications include selective fetal growth restriction (sFGR) and congenital anomalies. 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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Ablation Birth defects Births Care and treatment Cohort analysis Fetal diseases Fetuses Health aspects Heart Meta-analysis Nervous system Pregnancy complications Pregnancy, Multiple Review Risk factors Surveillance Twins Ultrasonic imaging |
| title | Counselling in Fetal Medicine: Complications of Monochorionic Diamniotic Twin Pregnancies |
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