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Surveillance of Triplets with Umbilical Artery Velocimetry Waveforms

Published online by Cambridge University Press:  01 August 2014

N.M. Rafla
N.M. Rafla*
Affiliation:
Liverpool Maternity Hospital, UK
*
Department of Obstetrics and Gynaecology, University College Hospital, Galway, Ireland

Abstract

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Doppler arterial velocimetry waveforms was used as a method of antenatal surveillance for triplets. Six sets of triplet pregnancies were studied. Each fetus was identified by real-time-ultrasound scanning and the peak systolic/end diastolic (S/D) ratio was calculated. In one set of triplets two fetuses showed absent end diastolic flow. Both subsequently suffered from necrotising enterocolitis and had major bowel resection. The five other sets of triplets maintained a normal S/D ratio. Three had a normal outcome and two delivered prematurely.

Keywords

Triplet pregnanciesDoppler ultrasoundSurveillance of tripletsNecrotising enterocolitis
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 38 , Issue 3-4 , October 1989 , pp. 301 - 304
Copyright
Copyright © The International Society for Twin Studies 1989

References

REFERENCES

1. Chitkara, U, Berkowitz, G, Levine, R (1985): Twin pregnancy: Routine use of ultrasound examinations in the prenatal diagnosis of intrauterine growth retardation and discordant growth. Am J Perinatol 2:49–52.CrossRefGoogle ScholarPubMed
2. Daw, E, Brown, G (1982): Triplet and twin stillbirth rates - A cause for concern. Maternal and Child Health 7:447–450.Google Scholar
3. Fleischer, A, Schuman, H, Farmakides, G, Bracero, L, Blattner, P, Radolph, G (1985): Umbilical artery velocimetry wave forms and intrauterine growth retardation. Am J Obstet Gynecol 151:502–505.Google Scholar
4. Gerson, AG, Wallace, DM, Brdgen, NK, Ashmead, GG, Weiner, S, Bolognese, RJ (1987): Duplex Doppler ultrasound in the evaluation of growth in twin pregnancies. Obstet Gynecol 70:419–423.Google ScholarPubMed
5. Giles, WB, Trudinger, BJ, Baired, PJ (1985): Fetal umbilical artery velocity waveforms and placental resistance: Pathological correlation. Brit J Obstet Gynaecol 92:31–38.Google Scholar
6. Gill, RW, Kossoff, G, Warren, PS, Garrett, WJ (1984): Umbilical venous flow in normal and complicated pregnancy. Ultrasound Med Biol 10:349–54.Google Scholar
7. Leveno, KJ, Quirk, JG, Whalley, PJ, Herbert, WN, Trubey, R (1984): Fetal lung maturation in twin gestation. Am J Obstet Gynecol 148:405–8.CrossRefGoogle ScholarPubMed
8. Macdonald-Davies, I (1983): Mortality in Multiple Births. Medical Statistical Division, Office of Population Censuses and Surveys, Australia.Google Scholar
9. Meehan, FP, Magani, IM, Mortimer, G (1988): Perinatal mortality in multiple pregnancy patients. Acta Genet Med Gemellol 37:331–337.Google Scholar
10. Nimrod, C, Davies, D, Harder, J, Dempster, C, Dodd, G, McDicken, D, Nicholson, S (1987): Doppler ultrasound prediction of fetal outcome in twin pregnancies. Am J Obstet Gynecol 156:402–406.Google Scholar