title: Conservative management of twin pregnancies with one dead fetus: is it safe?
abstract: BACKGROUND
  Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward.
  
  
  METHODS
  We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow-up period exceeded 3 weeks.
  
  
  RESULTS
  The twinning frequency was 8.9 per thousand deliveries and the frequency of subsequent antepartum death of one fetus was found to be 3.8%. The preterm birth rate was 45.5% and the survival rate was 90.1%. The perinatal mortality rate was 12%. Maternal clotting disorder was observed in one patient and treated successfully with heparin.
  
  
  CONCLUSIONS
  We suggest that these patients are best managed conservatively unless further hazard to the fetus or mother appears.
authors.affiliation: Clinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, Turkey.
authors.forename: C G
authors.initials: CG
authors.lastname: Zorlu
authors.forename: H R
authors.initials: HR
authors.lastname: Yalçin
authors.forename: T
authors.initials: T
authors.lastname: Cağlar
authors.forename: O
authors.initials: O
authors.lastname: Gökmen
mesh_terms: D005314:Embryonic and Fetal Development; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D012189:Retrospective Studies; D014427:Twins