[Prenatal management of fetofetal transfusion syndrome].
The twin-twin transfusion syndrome is a rare but severe complication in monozygotic twins. A total of 172 twin pregnancies were investigated in our hospital between January 1990 and August 1993. The patients were divided into 4 groups: Group I: Normal twin pregnancy, treatment only in our hospital. Group II: Twin-twin transfusion syndrome, treatment only in our hospital. Group III: Normal twin pregnancy, delivery in another hospital. Group IV: Twin-twin transfusion syndrome, after treatment and therapy delivery in another hospital. These cases were analysed concerning prenatal management and perinatal outcome. The perinatal mortality rate in group I-IV was 17%, 58%, 18% and 60%, respectively. A benefit of aggressive amniocentesis in case of polyhydramnios, administration of digoxin and timing of labour could be demonstrated.
Golaszewski
T
T
Abteilung für Pränatale Diagnostik und Therapie, Universitätsklinik für Frauenheilkunde Wien.
Plöckinger
B
B
Golaszewski
S
S
Frigo
P
P
Deutinger
J
J
Bernaschek
G
G
D000328:Adult; D000649:Amniocentesis; D001724:Birth Weight; D003131:Combined Modality Therapy; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D004077:Digoxin / Q000008:administration & dosage; D005260:Female; D005330:Fetofetal Transfusion / Q000000981:diagnostic imaging / Q000628:therapy*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D015145:Tocolysis; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal
D004077:Digoxin
Pränatales Management des fetofetalen Transfusionssyndroms.