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Natural History of 11 Cases of Twin-twin Transfusion Syndrome Without Intervention

Published online by Cambridge University Press:  21 February 2012

Ahmet Gul ,
Halil Aslan ,
Ibrahim Polat ,
Altan Cebeci ,
Hasan Bulut ,
Ozturk Sahin  and
Yavuz Ceylan
Ahmet Gul*
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey. ahmetgul@ttnet.net.tr
Halil Aslan
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
Ibrahim Polat
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
Altan Cebeci
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
Hasan Bulut
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
Ozturk Sahin
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
Yavuz Ceylan
Affiliation:
Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Maternity and Children Hospital, Istanbul,Turkey.
*
*Address for correspondence: Ahmet Gul, M.D., Gencler Cad., No.30 / 2, Bakirkoy, 34740 Istanbul, Turkey.

Abstract

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The natural history of 11 cases of twin–twin transfusion syndrome (TTTS) in monochorionic diamniotic (MCDA) twin pregnancies has been reviewed. Seven cases before 28 weeks and four pregnancies after 28 weeks had been followed up without intervention. Eight cases had premature uterine contractions. All seven pregnancies before 28 weeks aborted, leading to a 100% mortality rate. After 28 weeks all mothers delivered live births. The diagnosis of TTTS before 28 weeks, and with premature uterine contraction, seems to be a poor prognostic sign.

Type
Articles
Information
Twin Research and Human Genetics , Volume 6 , Issue 4 , 01 August 2003 , pp. 263 - 266
Copyright
Copyright © Cambridge University Press 2003