360: Does first-trimester ultrasound predict obstetrical and neonatal outcomes in monochorionic diamniotic twin pregnancies?

Allaf, Baraa; Ozhand, Ali; Haeri, Sina; Wax, Joseph R.; Vintzileos, Anthony M.; Borgida, Adam; Chavez, Martin; Davis, Sarah; Ravangard, Samadh F.; Spiel, Melissa; Habenicht, Rebecca; Markenson, Glenn; Gandhi, Manisha; Shamshirsaz, Amir A.; Ogburn, Paul L.; Meyer, Marjorie; Johnson, Jeff; Sadowski, Allison; Campbell, Winston A.; Shamshirsaz, Alireza A.

doi:10.1016/j.ajog.2012.10.525

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2021

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“…Various studies have attempted to establish first-trimester ultrasound signs or maternal characteristics predictive of adverse perinatal outcome in MC twins, such as TTTS 51,52 . However, a recent meta-analysis suggested that it is currently not possible to detect these complications at the first-trimester scan 53 , limiting the detection and screening for TTTS to 2-weekly scans from 16 weeks 11,26,32 .…”

Section: Management Of Tttsmentioning

confidence: 99%

Controversies in the management of twin pregnancy

Khalil

Liu

2021

Ultrasound in Obstet & Gyne

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Despite many advances in antenatal care, twin pregnancies still experience more adverse outcomes, in particular higher perinatal mortality and morbidity. They also pose a multitude of challenges and controversies as outlined in this paper. Moreover, they are less likely to be included in clinical trials. Many issues on classification and management remain under debate. Efforts on standardising diagnostic criteria, monitoring protocols, management and outcome reporting are likely to reduce their perinatal risks. The top 10 most important research uncertainties related to multiple pregnancies have been identified by both clinicians and patients. More robust research in the form of randomised trials and large well-conducted prospective cohort studies are needed to address these controversies.

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