Type II and III Selective Fetal Growth Restriction: Perinatal Outcomes of Expectant Management and Laser Ablation of Placental Vessels
| العنوان: | Type II and III Selective Fetal Growth Restriction: Perinatal Outcomes of Expectant Management and Laser Ablation of Placental Vessels |
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| المؤلفون: | Vera Lúcia Jornada Krebs, Cleisson Fábio Andrioli Peralta, Mário Henrique Burlacchini de Carvalho, Rita de Cássia Alam Machado, Maria de Lourdes Brizot, Mariana Yumi Miyadahira, Sckarlet Ernandes Biancolin, Rossana Pulcineli Vieira Francisco |
| المصدر: | Clinics, Volume: 73, Article number: e210, Published: 26 APR 2018 Clinics; v. 73 (2018); e210 Clinics; Vol. 73 (2018); e210 Clinics Universidade de São Paulo (USP) instacron:USP Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Clinics, Vol 73, Iss 0 (2018) |
| بيانات النشر: | Faculdade de Medicina / USP, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Perinatal Death, Placenta, Perinatal Outcomes, 0302 clinical medicine, Pregnancy, ULTRASSONOGRAFIA DOPPLER EM CORES, Medicine, 030212 general & internal medicine, Twin Pregnancy, Monochorionic Pregnancy, lcsh:R5-920, Fetal Growth Retardation, 030219 obstetrics & reproductive medicine, Obstetrics, Pregnancy Outcome, Gestational age, General Medicine, Middle Aged, Selective Fetal Growth Restriction, Survival Rate, medicine.anatomical_structure, Original Article, Female, Laser Therapy, lcsh:Medicine (General), Ductus venosus, Adult, medicine.medical_specialty, Adolescent, Expectant Management, Gestational Age, Laser Ablation of Placental Vessels, Ultrasonography, Prenatal, Young Adult, 03 medical and health sciences, Humans, Fetal Death, Survival rate, Retrospective Studies, Fetus, business.industry, Infant, Newborn, Retrospective cohort study, Twins, Monozygotic, medicine.disease, Pregnancy, Twin, business |
| الوصف: | OBJECTIVES: To describe the perinatal outcomes of type II and III selective fetal growth restriction (sFGR) in monochorionic-diamniotic (MCDA) twin pregnancies treated with expectant management or laser ablation of placental vessels (LAPV). METHODS: Retrospective analysis of cases of sFGR that received expectant management (type II, n=6; type III, n=22) or LAPV (type II, n=30; type III, n=9). The main outcomes were gestational age at delivery and survival rate. RESULTS: The smaller fetus presented an absent/reversed “a” wave in the ductus venosus (arAWDV) in all LAPV cases, while none of the expectant management cases presented arAWDV. The median gestational age at delivery was within the 32nd week for expectant management (type II and III) and for type II LAPV, and the 30th week for type III LAPV. The rate of at least one twin alive at hospital discharge was 83.3% and 90.9% for expectant management type II and III, respectively, and 90% and 77.8% for LAPV type II and III, respectively. CONCLUSION: LAPV in type II and III sFGR twins with arAWDV in the smaller fetus seems to yield outcomes similar to those of less severe cases that received expectant management. |
| وصف الملف: | text/html; application/pdf |
| اللغة: | English |
| تدمد: | 1980-5322 1807-5932 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1b804287b66636ee70ff74db81dc8689 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322018000100217&lng=en&tlng=en |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1b804287b66636ee70ff74db81dc8689 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19805322 18075932 |
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