Conservative management of twin pregnancies with one dead fetus: is it safe?

Background. Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward. Methods. We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow‐up period exceeded 3 weeks. Results. The twinning frequency was 8.9 per thousand d...

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Main Authors: C. Gürkan Zorlu, Hakan R. Yalçin, Turhan Claglar, Oya Gökmen
Format: Article
Language:English
Published: Wiley 1997-02-01
Series:Acta Obstetricia et Gynecologica Scandinavica
Subjects:
Online Access:https://doi.org/10.3109/00016349709050067
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author C. Gürkan Zorlu
Hakan R. Yalçin
Turhan Claglar
Oya Gökmen
author_facet C. Gürkan Zorlu
Hakan R. Yalçin
Turhan Claglar
Oya Gökmen
author_sort C. Gürkan Zorlu
collection DOAJ
description Background. Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward. Methods. We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow‐up period exceeded 3 weeks. Results. The twinning frequency was 8.9 per thousand deliveries and the frequency of subsequent antepartum death of one fetus was found to be 3.8%. The preterm birth rate was 45.5%and the survival rate was 90.1%. The perinatal mortality rate was 12%. Maternal clotting disorder was observed in one patient and treated successfully with heparin. Conclusions. We suggest that these patients are best managed conservatively unless further hazard to the fetus or mother appears.
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institution Kabale University
issn 0001-6349
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publishDate 1997-02-01
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series Acta Obstetricia et Gynecologica Scandinavica
spelling doaj-art-fa4a7431ade6430a87366d2b7b40f9e52025-08-20T03:31:11ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04121997-02-0176212813010.3109/00016349709050067Conservative management of twin pregnancies with one dead fetus: is it safe?C. Gürkan Zorlu0Hakan R. Yalçin1Turhan Claglar2Oya Gökmen3Clinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, TurkeyClinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, TurkeyClinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, TurkeyClinics of Perinatology, Dr. Zekai Tahir Burak Women's Hospital, Ankara, TurkeyBackground. Fetal death in one of the twins is unusual and the management issue of such a condition is not straightforward. Methods. We reviewed the outcomes of nine twin pregnancies with one dead fetus in whom follow‐up period exceeded 3 weeks. Results. The twinning frequency was 8.9 per thousand deliveries and the frequency of subsequent antepartum death of one fetus was found to be 3.8%. The preterm birth rate was 45.5%and the survival rate was 90.1%. The perinatal mortality rate was 12%. Maternal clotting disorder was observed in one patient and treated successfully with heparin. Conclusions. We suggest that these patients are best managed conservatively unless further hazard to the fetus or mother appears.https://doi.org/10.3109/00016349709050067coagulopathysingle fetal deathtwin pregnancy
spellingShingle C. Gürkan Zorlu
Hakan R. Yalçin
Turhan Claglar
Oya Gökmen
Conservative management of twin pregnancies with one dead fetus: is it safe?
Acta Obstetricia et Gynecologica Scandinavica
coagulopathy
single fetal death
twin pregnancy
title Conservative management of twin pregnancies with one dead fetus: is it safe?
title_full Conservative management of twin pregnancies with one dead fetus: is it safe?
title_fullStr Conservative management of twin pregnancies with one dead fetus: is it safe?
title_full_unstemmed Conservative management of twin pregnancies with one dead fetus: is it safe?
title_short Conservative management of twin pregnancies with one dead fetus: is it safe?
title_sort conservative management of twin pregnancies with one dead fetus is it safe
topic coagulopathy
single fetal death
twin pregnancy
url https://doi.org/10.3109/00016349709050067
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AT oyagokmen conservativemanagementoftwinpregnancieswithonedeadfetusisitsafe