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Chorionic-based intrahepatic cholestasis in pregnancy on perinatal outcome in twin pregnancies.
Medicine (Baltimore)
January 2025
Dianjiang People's Hospital of Chongqing, Chongqing, China.
This study investigates the impact of twin intrahepatic cholestasis in pregnancy (ICP) in different chorionicity scenarios on pregnancy outcome and risk factors. This retrospective study was designed to investigate the association between ICP and pregnancy outcomes and associated risk factors. Logistic regression analysis was used to verify the correlation between ICP and pregnancy outcome and the associated risk factors with the risk of ICP.
View Article and Find Full Text PDFTwin Anemia-Polycythemia Sequence With Spontaneous Resolution in Dichorionic Diamniotic Twin Pregnancy: A Case Report and a Review of the Literature.
Cureus
November 2024
Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, JPN.
Complications of twin pregnancy such as twin anemia-polycythemia sequence (TAPS), which involve placental anastomotic vessels, occur mostly in monochorionic diamniotic twins and they have rarely been reported in dichorionic diamniotic (DD) twins. Here, we report a case of DD twins diagnosed with TAPS with fetal hydrops caused by fetal anemia at 28 weeks, which resolved spontaneously during pregnancy. A 37-year-old pregnant woman was referred to our hospital because of a twin pregnancy at 13 weeks.
View Article and Find Full Text PDFTwin home birth: Outcomes of 100 sets of twins in the care of a single practitioner.
PLoS One
December 2024
Breech Without Borders, Crawfordsville, Indiana, United States of America.
Background: Research on community (home or birth center) twin birth is scarce. This study evaluates outcomes of twin pregnancies entering care with a single community practitioner.
Methods: This is a retrospective observational cohort study of 100 consecutive twin pregnancies planning community births during a 12-year period.
Fetal death: Expert consensus of the French College of Obstetricians and Gynecologists.
Int J Gynaecol Obstet
December 2024
Service de Gynécologie Obstétrique, CHU Charles-Nicolle, Rouen, France.
Fetal death is defined as the spontaneous cessation of cardiac activity after 14 weeks gestational age (GA). Regarding prevention of fetal death in the general population, it is not recommended to counsel or prescribe rest, aspirin, vitamin A, vitamin D, or micronutrient supplementation; systematically look for nuchal cord during prenatal screening ultrasound; or perform systematic antepartum monitoring by cardiotocography for the sole purpose of reducing the risk of fetal death. It is recommended to offer vaccination against influenza in epidemic periods and against SARS-CoV-2.
View Article and Find Full Text PDFAnalysis of risk factors for very early preterm and early preterm birth in twins following in vitro fertilization and intracytoplasmic sperm injection-assisted pregnancy: A retrospective study.
Int J Gynaecol Obstet
November 2024
Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Article Synopsis
- The study analyzed 2042 twin pregnancies from IVF and ICSI to understand risk factors for very early preterm (before 28 weeks) and early preterm births (between 28-34 weeks).
- It categorized births based on gestational age, finding that 4.36% were very early preterm, 12.14% early preterm, and the vast majority (83.50%) were ongoing pregnancies at 34 weeks or more.
- Key risk factors identified for very early preterm births included cervical cerclage, history of miscarriage or premature birth, certain uterine conditions, and a higher body mass index, while factors like polycystic ovary syndrome (PCOS) and specific uterine
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