Fetal Biophysical Profile in Twin Gestations

Lodeiro, Jorge G.; Vintzileos, Anthony M.; Feinstein, Steven J.; Campbell, Winston A.; Nochimson, David J.

doi:10.1097/00006250-198606000-00015

Cited by 39 publications

(12 citation statements)

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“…Lodeiro et al. (21) studied the relationship between fetal biophysical profile (fetal heart trace monitoring, fetal breathing movements, fetal tone, fetal movements, amniotic fluid volume and placental grading) and pregnancy outcome in twins. They suggested that it is a useful tool for follow‐up of fetal status in the presence of a non‐reactive fetal heart trace.…”

Section: Antepartum Monitoringmentioning

confidence: 99%

Monoamniotic twins: diagnosis and management

2002

Acta Obstet Gynecol Scand

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Monoamniotic twins, although uncommon, are associated with high antenatal and perinatal morbidity and mortality. The associated complications include cord entanglement, congenital anomalies, twin-twin transfusion syndrome, intrauterine growth retardation and preterm delivery. A thorough literature search using Medline and OVID was performed to look at the current diagnostic criteria for monoamniotic twins and the subsequent management. Specific criteria are employed during ultrasonography for making the diagnosis. Different opinions in the literature exist regarding the proper antepartum monitoring of monoamniotic twins, the optimal timing and the mode of delivery. Generally, it is agreed that there should be regular antepartum fetal heart trace monitoring and serial sonograms with umbilical artery Doppler flow study. Most studies advocate delivery at 32 weeks to reduce the risk of intrauterine deaths related to cord entanglement. Cesarean section is the preferred mode of delivery even though cases of successful vaginal delivery have been reported.

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Section: Antepartum Monitoringmentioning

confidence: 99%

Monoamniotic twins: diagnosis and management

2002

Acta Obstet Gynecol Scand

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“…To date, the use of BPP in the setting of high-risk twin pregnancy is limited. Lodeiro et al (1986) previously suggested that BPP could be used in twin pregnancies as a follow-up to a non-reactive CTG. In our study, biophysical profile alone accurately evaluated the probability of inadequate oxygenation in all cases, as evidenced by the mean cord ph values.…”

Section: Discussionmentioning

confidence: 99%

Management of small‐for‐gestational‐age twins with absent/reversed end diastolic flow in the umbilical artery: outcome of a policy of daily biophysical profile (BPP)

Sturgiss

2006

Prenatal Diagnosis

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“…There are retrospective data showing that both NSTs and BPPs are effective in detecting compromised twin gestations and can be interpreted the same as in singletons. 17,18 In addition, there is no difference in NST reactivity by fetal order (baby A, B, C) or presentation in twins and triplets. 19 However, the optimal surveillance schedule is unknown because there are no prospective data on which to base a recommendation.…”

Section: Antenatal Testingmentioning

confidence: 96%

Fetal Surveillance and Timing of Delivery for Multiples

Unal¹

2015

Clinical Obstetrics &Amp; Gynecology

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This chapter describes the current evidence and recommendations for surveillance and delivery timing for multifetal gestations. Ultrasound surveillance should include early determination of chorionicity, anatomic survey for all twins with fetal echocardiography for monochorionic twins, and growth assessment every 4 weeks. Monochorionic twins should also undergo ultrasound surveillance for twin-twin transfusion syndrome every 2 weeks starting at 16 weeks. Weekly testing with nonstress tests or biophysical profiles is recommended at 32 weeks for monochorionic, diamniotic twins, and 34 weeks for dichorionic twins. If this surveillance is reassuring, optimal delivery timing is 36 weeks 0 days to 37 weeks 0 days for monochorionic, diamniotic twins, and 37 week 0 days to 38 weeks 0 days for dichorionic twins.

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Fetal Biophysical Profile in Twin Gestations

Cited by 39 publications

References 0 publications

Monoamniotic twins: diagnosis and management

Monoamniotic twins: diagnosis and management

Management of small‐for‐gestational‐age twins with absent/reversed end diastolic flow in the umbilical artery: outcome of a policy of daily biophysical profile (BPP)

Fetal Surveillance and Timing of Delivery for Multiples

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