Transplacental flecainide therapy for fetal supraventricular tachycardia in a twin pregnancy.

Aust N Z J Obstet Gynaecol

Department of Obstetrics and Gynaecology, Canberra Clinical School, University of Sydney.

Published: February 1999

We present the case of a twin pregnancy in which 1 fetus developed hydrops secondary to supraventricular tachycardia at 30 weeks' gestation. Transplacental flecainide administration successfully treated the condition without evidence of maternal or fetal side-effects. The case raises ethical and possibly legal issues that present when 1 fetus in a twin pregnancy develops a condition the management of which could cause complications to the other twin and/or the mother.

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http://dx.doi.org/10.1111/j.1479-828x.1999.tb03458.xDOI Listing

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