Twin with hydramnios; Treating premature labor at source

Lange, I.; Harman, C R; Ash, K M; Manning, FM; Menticoglou, Savas

doi:10.1016/0020-7292(89)90442-6

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Temporizing for a month by repeated amniocentesis and withdrawal of fl uid is sometimes feasible for a while (Figs. 25.69 ,25.70 ,and 25.71 ) but not for long (Feingold et al 1986 ;Vetter and Schneider 1988 ;Lange et al 1989 ;Elliott et al 1991 ;Elliott 1992 ;Reisner et al 1993 ) . There is a large literature on this topic, and the results are not uniform.…”

Section: Twin-to-twin Transfusion Syndromementioning

confidence: 87%

Multiple Pregnancies

Benirschke¹,

Burton²,

Baergen³

2012

Pathology of the Human Placenta

View full text Add to dashboard Cite

Section: Twin-to-twin Transfusion Syndromementioning

confidence: 87%

Multiple Pregnancies

Benirschke¹,

Burton²,

Baergen³

2012

Pathology of the Human Placenta

View full text Add to dashboard Cite

“…Table 1 lists the parameters of the studies included in the final analysis and whether they were used to assess measurements, outcomes, or both. [1][2][3]9,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Table 2 lists the studies included for abnormal AFV and adverse outcomes in twins. 3,[31][32][33]…”

Section: Methodsmentioning

confidence: 99%

A Systematic Review of Amniotic Fluid Assessments in Twin Pregnancies

Ippolito

Bergstrom

Lutgendorf

et al. 2014

J of Ultrasound Medicine

View full text Add to dashboard Cite

The objectives of this systematic review were to examine the reproducibility of sonographic estimates of amniotic fluid volume (AFV) in twin pregnancies, compare the association of sonographic estimates of AFV with dye-determined AFV, and correlate AFV with antepartum, intrapartum, and perinatal outcomes in twin pregnancies. Studies were included if they were adequately powered and investigated antepartum, intrapartum, and/or perinatal adverse outcome parameters in twin gestations. Studies with comparable populations and exclusion criteria were merged into forest plots. Data comparing the accuracy of AFV assessment, correlation of AFV with gestational age, and adverse outcomes were tabulated. Five of the 6 studies investigating AFV by the amniotic fluid index as a function of gestational age reported data fitting a quadratic equation, with fluid volumes peaking at mid gestation and then declining. This trend was less pronounced when AFV was assessed by the single deepest pocket (2 of 4 studies reporting a quadratic fit). Polyhydramnios was associated with prematurity in 2 of 4 studies (1 amniotic fluid index and 1 single deepest pocket), and oligohydramnios was associated with prematurity in 1 single deepest pocket study. Stillbirth was the only intrapartum outcome reported in more than 1 study. Perinatal outcomes associated with polyhydramnios included neonatal death (P < .05 in 1 of 2 studies), low Apgar scores (1 of 2 studies), neonatal intensive care unit admission (1 of 2 studies), and low birth weight (2 of 3 studies).

show abstract

“…Reports on the use of indomethacin have yielded conflicting results. While Lange et al (1989) reported successful resolution of polyhydramnios using indomethacin, Jones et al (1993) have reported an associated fetal death with its use. To our knowledge, no study with a large experience in the use of medical treatment for TTS has been published.…”

Section: Medical Treatment Of Tttsmentioning

confidence: 99%