title: Platelet count as a predictive factor of neonatal outcome in twin pregnancy with fetal demise.
abstract: OBJECTIVE
  During the last decade, the rate of twin pregnancies has increased and reached 3% of all pregnancies.
  
  
  METHODS
  This study enrolled 36 twin pregnancies that were followed and delivered at the Clinic for Gynecology and Obstetrics, Clinical Center of Serbia over a five-year period.
  
  
  RESULTS
  The first group included 15 patients with a monochorionic twin pregnancy, and the second group consisted of 21 patients with a dichorionic twin pregnancy. The platelet count was significantly lower in patients with APGAR scores of more than 8, with an average of 185,000/ml, and in patients with a score of less than 4, the average count was 221,000/ml. The perinatal mortality rate of the surviving twin was 33% in the monochorionic group and 0.4% in the dichorionic group.
  
  
  CONCLUSIONS
  An increase in the maternal platelet count can be used as a predictor for a negative neonatal outcome of the surviving twin.
authors: Clinic for Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, Serbia. plesinac@hotmail.com
authors: S
authors: S
authors: Plesinac
authors: B Kastratović
authors: BK
authors: Kotlica
authors: S
authors: S
authors: Aksam
authors: I
authors: I
authors: Babović
authors: I
authors: I
authors: Pilić
mesh_terms: D001777:Blood Coagulation; D004200:Diseases in Twins / Q000097:blood*; D005260:Female; D005313:Fetal Death / Q000097:blood*; D006801:Humans; D007231:Infant, Newborn; D054238:Perinatal Mortality; D010976:Platelet Count; D011247:Pregnancy; D011256:Pregnancy Outcome; D059285:Pregnancy, Twin / Q000097:blood*; D055771:Serbia; D014429:Twins, Dizygotic; D014430:Twins, Monozygotic