Antenatal fetal surveillance in multiple pregnancies

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• 作者：Dick Oepkes ; PhD ; MD ; ^{d.oepkes@lumc.nl} (Professor) ; Marieke Sueters ; PhD ; MD (Maternal-Fetal Medicine Specialist)
• 关键词：twin pregnancy ; multiple pregnancy ; obstetrics ; chorionicity ; antenatal surveillance
• 刊名：Best Practice & Research Clinical Obstetrics & Gynaecology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：38
• 期：Complete
• 页码：59-70
• 全文大小：270 K
• 卷排序：38

文摘

A detailed first trimester scan is needed for risk selection in multiple pregnancies. Early detection and timely referral are essential in twins with TTTS, TRAP, TAPS, and sIUGR. Timely diagnosis is essential for the success of a range of fetal interventions available sIUGR in monochorionic twins presents a major challenge for the clinician. Monoamniotic twins without structural anomalies and frequently monitored have a good prognosis. Surveillance from 28 weeks onward with caesarean section between 32 and 33 weeks, after steroids, is advised.