Late appearance of umbilical artery end‐diastolic flow in selective intrauterine growth restriction complicating monochorionic diamniotic twin pregnancy

Tangi, Amanda; Negri, Beatrice; Fichera, A.; Fratelli, N.; Prefumo, Federico

doi:10.1002/uog.17344

Cited by 2 publications

(1 citation statement)

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“…Few studies reported gestational age at diagnosis, although cases classified at 16–18 weeks as Type‐II sFGR may have physiologically rather than pathologically absent EDF. Additionally, practice varies in local availability of fetal intervention, neonatal services and legal restrictions on termination of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%