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Diagnosis and Management of 2 Cases of Spontaneous Septostomy: Monochorionic/Dichorionic Hybrid Twin Gestation and Dichorionic Triamniotic Triplet Gestation.
Fetal Diagn Ther
February 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USA.
Introduction: Spontaneous septostomy is a rare complication of multiple gestations. Related complications include cord entanglement and preterm delivery. Limited data exist to guide the management of these high-risk patients.
View Article and Find Full Text PDFWhen diamniotic twins suddenly become monoamniotic twins: spontaneous septostomy of the dividing membrane.
BMJ Case Rep
July 2021
Departament of Obstetrics and Gynecology, Cantonal Hospital Lucerne, Luzern, Luzern, Switzerland.
In twin pregnancies, amnionicity and chorionicity are crucial as they strongly determine prenatal and perinatal management. First trimester ultrasound allows a highly reliable diagnosis of amnionicity and chorionicity, making it an internationally accepted standard in antenatal care. However, in rare cases, amnionicity can change from diamniotic to monoamniotic throughout pregnancy, substantially impacting perinatal management.
View Article and Find Full Text PDFSpontaneous septostomy in a monochorionic-diamniotic twin gestation.
J Clin Ultrasound
January 2021
Department of Maternal-Fetal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Monochorionic twin gestations are associated with a greater incidence of neonatal morbidity and mortality when compared with their dichorionic counterparts. In turn, monochorionic-monoamniotic (MCMA) gestations carry greater risks compared with monochorionic-diamniotic (MCDA) gestations. While the true incidence of spontaneous septostomy of the dividing membranes (SSDM) in MCDA twins is unknown, SSDM has been demonstrated to be associated with increased morbidity and mortality, due to functional transition from a MCDA gestation to a MCMA gestation.
View Article and Find Full Text PDFIncidence and survival of MCDA twin pregnancies with TTTS presenting without amniotic fluid discordance due to spontaneous septostomy and treated with fetoscopy.
Ultrasound Obstet Gynecol
September 2021
Fetal Medicine and Surgery Center, Medicina Fetal, México, Querétaro, Mexico.
Spontaneous Septostomy in a Twin Pregnancy Causing Fatal Amniotic Band Syndrome.
Case Rep Pediatr
December 2018
Department of Pathology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Complications due to spontaneous septostomy of the dividing membrane in monochorionic diamniotic pregnancies are rarely described. Herein, we report the case of a preterm female neonate from a monochorionic diamniotic twin pregnancy delivered by caesarean section at 32 weeks of gestation. She was born with a broad band of a transparent membrane-like material firmly attached to her lower abdomen.
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