[Intrauterine death of one twin in the third trimester].
OBJECTIVE
The goal of our study was the clinical characteristics of the twin gestations complicated by the intrauterine death of one fetus in the third trimester.


METHODS
This study was a multicenter retrospective review of 12 twin gestations complicated by the intrauterine death of one fetus in the third trimester.


RESULTS
During the study period there were 295 twin gestations. 12 of them (4.1%) were complicated by the intrauterine death of one fetus in the third trimester. Three cases were monochorionic diamniotic and nine dichorionic. Ones gestational age of one fetus demise ranged from 25 to 37 (mean 30.0) weeks. Delivery was performed between 25 and 38 (mean 32.1) weeks. In monochorionic twin gestation the intrauterine death of one twin occurred earlier in gestation, had a shorter duration between the death and delivery, and delivered earlier in gestation. One liveborn infant with monochorionic and two with dichorionic placentation died in the postnatal period. Maternal coagulation changes did not occur in those cases. All live-born infants were without evidence of hematological abnormalities.


CONCLUSIONS
These results suggest that the risk of morbidity and mortality for the living twin is increased, after the death of its sibling, in case of monochorial placentation.
Malinowski
Witold
W
Oddziału Połozniczo-Ginekologicznego SPZOZ Kutno.
Janowski
Józef
J
Łokociejewski
Jerzy
J
Rózewicki
Kazimierz
K
Tomala
Jan
J
D000328:Adult; D036861:Delivery, Obstetric; D004200:Diseases in Twins / Q000453:epidemiology; D005314:Embryonic and Fetal Development; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000209:etiology; D005315:Fetal Diseases / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014427:Twins / Q000706:statistics & numerical data*
Zgon wewnatrzmaciczny jednego z płodów w III trymestrze ciazy bliźniaczej. Badanie wieloośrodkowe.