Diagnosis and treatment of twin to twin transfusion in the mid-second trimester of pregnancy.
Acute hydramnios in the second trimester of pregnancy associated with twin to twin transfusion is a rare and usually disastrous complication. Few infants survive the neonatal period. We report a case of acute hydramnios prior to 20 weeks of gestation secondary to twin to twin transfusion documented by fetal blood samples obtained using cordocentesis. Selective fetacide was performed using a new procedure after a pericardial effusion had failed. The hydramnios resolved and the surviving co-twin was delivered at term.
Weiner
C P
CP
Department of Obstetrics and Gynecology, University of Iowa Medical School, Iowa City.
D000328:Adult; D000653:Amniotic Fluid / Q000503:physiopathology; D004200:Diseases in Twins; D005260:Female; D005313:Fetal Death / Q000139:chemically induced; D005315:Fetal Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005330:Fetofetal Transfusion / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis; D014463:Ultrasonography