Publications by authors named "M van der Haak"
Proximate cord insertion in monochorionic twins with selective fetal growth restriction.
Am J Obstet Gynecol MFM
January 2025
Background: Monochorionic (MC) twins share a single placenta which can be unequally shared, leading to selective fetal growth restriction (sFGR). Limited data is available on the prevalence and clinical consequences of proximate cord insertion (PCI) in sFGR pregnancies.
Objective: We aimed to investigate the prevalence of PCI in MC placentas with and without sFGR and per type of sFGR, and study the placental characteristics and perinatal outcome of PCI in sFGR pregnancies.
Introduction: Transposition of the great arteries (TGA), especially with intact ventricular septum (TGA-IVS), presents unique challenges during fetal-to-neonatal transition, which can contribute to developing persistent pulmonary hypertension of the newborn (PPHN).
Case Presentation: A male newborn with TGA-IVS, delivered via caesarean section, presented with hypoxemia and tachycardia immediately after birth (preductal SpO: 50-60%, post-ductal SpO: 70-75%). Echocardiography revealed a floppy interatrial septum and two interatrial connections with bidirectional shunting.
Article Synopsis
- The study aimed to evaluate maternal complications following fetoscopic laser surgery (FLS) for twin-to-twin transfusion syndrome (TTTS) from 2008 to 2021.
- A total of 637 mothers underwent FLS, resulting in 1559 reported maternal complications, with severe complications occurring in 8.0% of cases.
- The findings highlight that while FLS is an effective treatment for TTTS, it poses significant risks for mothers, warranting thorough discussions with patients about these risks when considering treatment options.