Title: Growth discordance
Authors: Lewi, Liesbeth ×
Devlieger, Roland
De Catte, Luc
Deprest, Jan #
Issue Date: Feb-2014
Publisher: Bailliè€re Tindall
Series Title: Best Practice & Research in Clinical Obstetrics & Gynaecology vol:28 issue:2 pages:295-303
Article number: S1521-6934(13)00165-X
Abstract: Poor growth is a common problem in twin pregnancies, and management poses some unique challenges as the wellbeing of both twins have to be taken into account at all times. The decision to deliver the twins to prevent an intrauterine demise of the growth-restricted twin will, therefore, depends on the chances of intact postnatal survival of both twins. In monochorionic twins, management is complicated further by the fact that the wellbeing of one twin critically depends on that of the other twin because of the shared circulation. In the event of demise of the growth-restricted twin, the larger twin may also die or sustain brain damage because of an acute exsanguination into the feto-placental unit of its demised co-twin. In the pre-viable period, invasive fetal therapy may, therefore, be indicated to protect the appropriately growing twin.
ISSN: 1521-6934
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Organ Systems (+)
× corresponding author
# (joint) last author

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