Abstract
A policy of expectant management until 32 weeks of gestation in 29 dichorionic pregnancies discordant for growth retardation resulted in an overall mortality of 24% (95% CI 13.9-37.2%) and a handicap of 2.2% (95% CI 0-12.0%). None of the normally grown co-twins died or was handicapped as a result of iatrogenic prematurity. Keywords: twins; dichorionic pregnancy; handicap; intrauterine growth retardation
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Figure 1 .
Estimated weight3 of each fetus in 29 dichorionic twin pregnancies at the time of referral, plotted on the appropriate normal range for singletons (mean, 5th, and 95th centiles).4 The squares represent the values for the appropriately grown fetuses and the circles for the growth retarded ones. Open squares and circles represent the survivors and closed squares or circles represent those that died either in utero or in the neonatal period.
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bessis R., Papiernik E. Echographic imagery of amniotic membranes in twin pregnancies. Prog Clin Biol Res. 1981;69A:183–187. [PubMed] [Google Scholar]
- Hadlock F. P., Harrist R. B., Sharman R. S., Deter R. L., Park S. K. Estimation of fetal weight with the use of head, body, and femur measurements--a prospective study. Am J Obstet Gynecol. 1985 Feb 1;151(3):333–337. doi: 10.1016/0002-9378(85)90298-4. [DOI] [PubMed] [Google Scholar]
- Rennie J. M. Perinatal management at the lower margin of viability. Arch Dis Child Fetal Neonatal Ed. 1996 May;74(3):F214–F218. doi: 10.1136/fn.74.3.f214. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sepulveda W., Sebire N. J., Hughes K., Odibo A., Nicolaides K. H. The lambda sign at 10-14 weeks of gestation as a predictor of chorionicity in twin pregnancies. Ultrasound Obstet Gynecol. 1996 Jun;7(6):421–423. doi: 10.1046/j.1469-0705.1996.07060421.x. [DOI] [PubMed] [Google Scholar]
- Yudkin P. L., Aboualfa M., Eyre J. A., Redman C. W., Wilkinson A. R. New birthweight and head circumference centiles for gestational ages 24 to 42 weeks. Early Hum Dev. 1987 Jan;15(1):45–52. doi: 10.1016/0378-3782(87)90099-5. [DOI] [PubMed] [Google Scholar]

