title: Antenatal fetal demise in multiple gestation--the outcome of surviving fetus at one to four years of age.
abstract: The outcome of 26 multifetal pregnancies with single fetal demise after 12 weeks of pregnancy cared for at the University Medical School of Zagreb from 1986 to 1991 is presented. Growth retardation of dead and surviving infant and pathohistological findings consistent with reduced uterine blood flow to cotyledonary space was the most frequent complication, irrespective of the type of placentation. Perinatal infection was the most frequent neonatal complication. Neonatal asphyxia was observed in only one infant. The outcome at 1-4 years of age was perfect in 14 out of 15 surviving infants for whom data are available. An early diagnosis of multifetal pregnancy, based essentially on ultrasonography and appropriate monitoring of the mother and the survivor, with cesarean delivery carried out at first signs of imminent asphyxia, is the best guarantee for a favorable outcome.
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Zagreb, Croatia.
authors.forename: S
authors.initials: S
authors.lastname: Skrablin
authors.forename: I
authors.initials: I
authors.lastname: Kuvacic
authors.forename: I
authors.initials: I
authors.lastname: Fuduric
authors.forename: D
authors.initials: D
authors.lastname: Hodzic
mesh_terms: D001238:Asphyxia Neonatorum / Q000150:complications; D017523:Croatia; D005260:Female; D005313:Fetal Death; D005317:Fetal Growth Retardation; D005323:Fetal Monitoring; D005340:Fibrinogen / Q000378:metabolism; D006801:Humans; D007231:Infant, Newborn; D007239:Infections / Q000150:complications; D010927:Placental Insufficiency / Q000150:complications; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000098:blood supply
chemical_list: D005340:Fibrinogen