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Fetal Diagn Ther. 2008;23(2):153-8. Epub 2007 Nov 26.

Pregnancy outcomes following bipolar umbilical cord cauterization for selective termination in complicated monochorionic multiple gestations.

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  • 1Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia, Department of Surgery and Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA.

Abstract

OBJECTIVE:

To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies.

STUDY DESIGN:

Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC.

RESULTS:

UCC was performed at 21.2 +/- 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 +/- 4.7 weeks. Mean birth weight was 2,218 +/- 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years.

CONCLUSION:

Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.

Copyright 2007 S. Karger AG, Basel.

PMID:
18042995
[PubMed - indexed for MEDLINE]
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