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Chapter 36 - The Diagnosis and Detection of Fetal Growth Restriction in Monochorionic Twin Pregnancies

from Complications of Monochorionic Multiple Pregnancy: Fetal Growth Restriction in Monochorionic Twins

Published online by Cambridge University Press:  21 October 2019

Mark D. Kilby
Affiliation:
University of Birmingham
Anthony Johnson
Affiliation:
University of Texas Medical School at Houston
Dick Oepkes
Affiliation:
Leids Universitair Medisch Centrum
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Summary

Although not all small babies are truly growth restricted, the fetus that struggles to reach its full growth potential is at substantial risk of fetal and neonatal complications, even more so if not identified antenatally as a faltering fetus. As with most pregnancy complications, the risk of fetal growth restriction (FGR) is increased in twin pregnancies, and more so in monochorionic twin pregnancies. Around 19.7% of monochorionic twin pregnancies are complicated by FGR, compared with only 10.5% of dichorionic twin pregnancies [1]. They also experience a higher incidence of perinatal mortality associated with growth restriction – 75.1/1000 compared with 33.0/1000 [2].

Type
Chapter
Information
Fetal Therapy
Scientific Basis and Critical Appraisal of Clinical Benefits
, pp. 384 - 391
Publisher: Cambridge University Press
Print publication year: 2020

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