title: [Obstetric and ethical-legal problems in a twin pregnancy with anencephalus and polyhydramnios of the leading twin beyond the 28th week of pregnancy].
abstract: Malformations are found twice as often in twins than in singletons. In the following case, we report on a twin pregnancy with anencephaly and polyhydramnion of the leading twin I, which was first diagnosed after 28 weeks of pregnancy. The foetal disease of twin I led to an appreciable dyspnoea of the mother that exacerbated to an incipient respiratory failure by the thirty-second week of pregnancy. The projected termination of pregnancy by Caesarean section based on a maternal indication was not performed, but instead a selective foetocide of the diseased twin. The live twin was delivered spontaneously without complications after thirty-eight weeks of pregnancy. The obstetric and legal ethical problems are discussed.
authors.affiliation: Frauenklinik II im Klinikum Nürnberg.
authors.forename: G
authors.initials: G
authors.lastname: Greiner
authors.forename: B
authors.initials: B
authors.lastname: Bock
authors.forename: K
authors.initials: K
authors.lastname: Sammler
authors.forename: A
authors.initials: A
authors.lastname: Feige
mesh_terms: D000757:Anencephaly / Q000000981:diagnostic imaging* / Q000235:genetics; D004200:Diseases in Twins / Q000175:diagnosis* / Q000235:genetics; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D007751:Labor, Induced; D008297:Male; D006831:Polyhydramnios / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011272:Pregnancy, Multiple; D016216:Ultrasonography, Prenatal
vernacular_title: Geburtshilfliche und ethisch-juristische Problematik bei einer Geminigravidität mit Anenzephalus und Polyhydramnion des führenden Zwilling I jenseits von 28 Schwangerschaftswochen.