RT Generic
T1 Selective Fetal Growth Restriction in Monochorionic Diamniotic Twins: Diagnosis and Management
A1 Zumaeta, Alicia Mazer
A1 Gil, Maria Mar
A1 Rodriguez-Fernandez, Miguel
A1 Carretero, Pilar
A1 Ochoa, Jose Hector
A1 Casanova, Maria Cristina
A1 Molina, Francisca Sonia
K1 Twins
K1 Monochorionic diamniotic twins
K1 Selective fetal growth restriction
K1 Birthweight discordance
K1 Fetal therapy
K1 Placenta
K1 Umbilical artery doppler
K1 End-diastolic flow
K1 Intermittent absent
K1 Pregnancies
K1 Photocoagulation
K1 Ultrasound
AB Selective fetal growth restriction (sFGR) is a severe condition that complicates 10% to 15% of all monochorionic diamniotic (MCDA) twin pregnancies. Pregnancies complicated with sFGR are at high risk of intrauterine demise or adverse perinatal outcome for the twins. Three clinical types have been described according to the umbilical artery (UA) Doppler pattern observed in the smaller twin: type I, when the UA Doppler is normal; type II, when there is persistent absent or reversed end-diastolic blood flow in the UA Doppler; and type III, when there is intermittent absent and/or reversed end-diastolic blood flow in the UA Doppler. Clinical evolution and management options mainly depend on the type of sFGR. Type I is usually associated with a good prognosis and is managed conservatively. There is no consensus on the management of types II and III, but in earlier and more severe presentations, fetal interventions such as selective laser photocoagulation of placental anastomoses or selective fetal cord occlusion of the smaller twin may be considered. This review aims to provide updated information about the diagnosis, evaluation, follow-up, and management of sFGR in MCDA twin pregnancies.
PB Lippincott williams & wilkins
PB Wolters Kluwer Health
SN 2096-6954
YR 2022
FD 2022-08-11
LK http://hdl.handle.net/10668/19847
UL http://hdl.handle.net/10668/19847
LA en
NO Mazer Zumaeta, A; Gil, M Mar; Rodríguez-Fernández, M; Carretero, P; Ochoa, J; Casanova, M C; et al. Selective Fetal Growth Restriction in Monochorionic Diamniotic Twins: Diagnosis and Management. Maternal-Fetal Medicine 4(4):p 268-275, October 2022.
DS RISalud
RD Apr 11, 2025