Expectant management and laser photocoagulation in isolated selective intra-uterine growth restriction: A single-center series

Koch, A.; Favre, R.; Viville, B.; Fritz, G.; Köhler, M.; Guerra, Fernando; Lecointre, Lise; Gaudineau, A.; Langer, Bruno; Weingertner, Anne-Sophie; Sananès, Nicolas

doi:10.1016/j.jogoh.2017.09.004

Cited by 14 publications

(17 citation statements)

References 29 publications

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“…There were eight studies (332 twins) on expectant management in Type‐I sFGR, one study (six fetuses) reporting the outcome of pregnancies complicated by Type‐I sFGR treated with laser therapy of placental anastomoses, and two studies (six twins) reporting the outcome of Type‐I sFGR treated with SR of the smaller twin (Table , Figure a).…”

Section: Resultsmentioning

confidence: 99%

“…There were no randomized controlled trials comparing the different management options according to type of sFGR, and all the included studies were observational. Ten studies [11][12][13][14][15][16][17][18][19][20] reported outcome following expectant management, although protocol for expectant management varied in monitoring and indications for delivery. Not all studies reported the antenatal management protocols used for expectantly managed cases 11,13,14,20 .…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies [11][12][13][14][15][16][17][18][19][20] reported outcome following expectant management, although protocol for expectant management varied in monitoring and indications for delivery. Not all studies reported the antenatal management protocols used for expectantly managed cases 11,13,14,20 . Outcome after active management with fetoscopic laser coagulation was reported by five studies 11,13,19,21,22 .…”

Section: Resultsmentioning

confidence: 99%

“…Not all studies reported the antenatal management protocols used for expectantly managed cases 11,13,14,20 . Outcome after active management with fetoscopic laser coagulation was reported by five studies 11,13,19,21,22 . SR by cord occlusion was reported in four studies 6,11,12,24 and by radiofrequency ablation in three studies [24][25][26] , and these cases were analyzed together because there was not likely to be a significant difference between the two techniques 23,24 .…”

Section: Resultsmentioning

confidence: 99%

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Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta‐analysis

Townsend

D’Antonio

Sileo

et al. 2019

Ultrasound in Obstet & Gyne

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Type I sFGR is characterized by good perinatal outcome with expectant management, which represents the most reasonable management strategy for the large majority of affected cases. Pregnancies complicated by Type II and III sFGR treated with fetoscopic laser ablation had higher mortality but lower morbidity compared to those managed expectantly, supporting the use of fetal therapy at gestations remote from neonatal viability - with scarce data on outcome following selective reduction. However, in view of the lack of evidence from randomized controlled trials, prenatal management of sFGR should be individualized according to gestational age at diagnosis, severity of growth discordance and magnitude of Doppler anomalies. This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta‐analysis

Townsend

D’Antonio

Sileo

et al. 2019

Ultrasound in Obstet & Gyne

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“…MEDLINE, EMBASE, CINAHL, http://clinicaltrials.gov and The Cochrane Library databases were searched electronically using a comprehensive search strategy (Appendix S1). Thirty‐nine studies were included in the analysis, comprising 21 retrospective and 13 prospective cohort studies, three non‐comparative studies, one case–control and one cross‐sectional study (Table ). Fetal, neonatal and perinatal mortality were reported commonly across the included studies.…”

Section: Characteristics Of 39 Studies Evaluating Interventions For Smentioning

confidence: 99%

Variation in outcome reporting across studies evaluating interventions for selective fetal growth restriction

Sileo

Duffy

Townsend

et al. 2019

Ultrasound in Obstet & Gyne

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The recent investigation of variation in outcome reporting in studies of twin-to-twin transfusion syndrome has highlighted the problem of variable and inconsistently defined outcome reporting in studies of twin-to-twin transfusion syndrome (TTTS).(1) Similar heterogeneity in outcome reporting has been identified across women's and newborn health including pre-eclampsia, childbirth trauma and endometriosis.(2-8) This article is protected by copyright. All rights reserved.

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Gestational age at birth and outcome in monochorionic twins with different types of selective fetal growth restriction: A systematic literature review

et al. 2022

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This systematic review aims to assess the gestational age at birth and perinatal outcome [intrauterine demise (IUD), neonatal mortality and severe cerebral injury] in monochorionic twins with selective fetal growth restriction (sFGR), according to Gratacós classification based on umbilical artery Doppler flow patterns in the smaller twin. Seventeen articles were included. Gestational age at birth varied from 33.0 to 36.0 weeks in type I, 27.6–32.4 weeks in type II, and 28.3–33.8 weeks in type III. IUD rate differed from 0%–4% in type I to 0%–40% in type II and 0%–23% in type III. Neonatal mortality rate was between 0%–10% in type I, 0%–38% in type II, and 0%–17% in type III. Cerebral injury was present in 0%–2% of type I, 2%–30% of type II and 0%–33% of type III cases. The timing of delivery in sFGR varied substantially among studies, particularly in type II and III. The quality of evidence was moderate due to heterogenous study populations with varying definitions of sFGR and perinatal outcome parameters, as well as a lack of consensus on the use of the Gratacós classification, leading to substantial incomparability. Our review identifies the urgent need for uniform antenatal diagnostic criteria and definitions of outcome parameters.

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Expectant management and laser photocoagulation in isolated selective intra-uterine growth restriction: A single-center series

Cited by 14 publications

References 29 publications

Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta‐analysis

Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta‐analysis

Variation in outcome reporting across studies evaluating interventions for selective fetal growth restriction

Gestational age at birth and outcome in monochorionic twins with different types of selective fetal growth restriction: A systematic literature review

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