Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations

Twin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Toda...

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Detalhes bibliográficos
Autores: Calle Fernández-Miranda, María de la, Bartha Rasero, José Luis, Serrano, Henar, Ramiro Cortijo, David
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/716892
Acesso em linha:http://hdl.handle.net/10486/716892
https://dx.doi.org/10.3390/children8100927
Access Level:acceso abierto
Palavra-chave:bichorionic biamniotic
fetal complications
intrauterine fetal death
maternal complications
twin pregnancy
Medicina
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spelling Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestationsCalle Fernández-Miranda, María de laBartha Rasero, José LuisSerrano, HenarRamiro Cortijo, Davidbichorionic biamnioticfetal complicationsintrauterine fetal deathmaternal complicationstwin pregnancyMedicinaTwin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Today, the repercussions of IUFD may have on the surviving fetus, mother and bichorionic pregnancy are not known. Our objective was to study maternoobstetrical, fetal, and immediate delivery neonatal complications in bichorionic twin gestations with single IUFD compared to those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD after 14 weeks (cases; IUFD group) and 51 with both fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid, Spain). The data were collected from obstetrical records. No significant differences were found in the rates of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity between IUFD and non-IUFD groups. Statistical differences were found for the incidence of intrauterine growth restriction in the surviving fetus compared to first fetus of pregnancy with both fetuses alive (22.7% versus 2.0%, respectively; p-value = 0.012). There were no differences compared to second fetus (11.8%; p-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6%, non-IUFD = 64.7%; p-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is a rare complication that should be closely monitored. It is essential that these gestations be attended by a clinical multidisciplinary teamMDPIDepartamento de FisiologíaFacultad de Medicina20212021-10-16research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/716892https://dx.doi.org/10.3390/children8100927reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7168922026-06-23T12:46:27Z
dc.title.none.fl_str_mv Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
title Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
spellingShingle Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
Calle Fernández-Miranda, María de la
bichorionic biamniotic
fetal complications
intrauterine fetal death
maternal complications
twin pregnancy
Medicina
title_short Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
title_full Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
title_fullStr Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
title_full_unstemmed Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
title_sort Obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations
dc.creator.none.fl_str_mv Calle Fernández-Miranda, María de la
Bartha Rasero, José Luis
Serrano, Henar
Ramiro Cortijo, David
author Calle Fernández-Miranda, María de la
author_facet Calle Fernández-Miranda, María de la
Bartha Rasero, José Luis
Serrano, Henar
Ramiro Cortijo, David
author_role author
author2 Bartha Rasero, José Luis
Serrano, Henar
Ramiro Cortijo, David
author2_role author
author
author
dc.contributor.none.fl_str_mv Departamento de Fisiología
Facultad de Medicina
dc.subject.none.fl_str_mv bichorionic biamniotic
fetal complications
intrauterine fetal death
maternal complications
twin pregnancy
Medicina
topic bichorionic biamniotic
fetal complications
intrauterine fetal death
maternal complications
twin pregnancy
Medicina
description Twin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Today, the repercussions of IUFD may have on the surviving fetus, mother and bichorionic pregnancy are not known. Our objective was to study maternoobstetrical, fetal, and immediate delivery neonatal complications in bichorionic twin gestations with single IUFD compared to those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD after 14 weeks (cases; IUFD group) and 51 with both fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid, Spain). The data were collected from obstetrical records. No significant differences were found in the rates of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity between IUFD and non-IUFD groups. Statistical differences were found for the incidence of intrauterine growth restriction in the surviving fetus compared to first fetus of pregnancy with both fetuses alive (22.7% versus 2.0%, respectively; p-value = 0.012). There were no differences compared to second fetus (11.8%; p-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6%, non-IUFD = 64.7%; p-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is a rare complication that should be closely monitored. It is essential that these gestations be attended by a clinical multidisciplinary team
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-10-16
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/716892
https://dx.doi.org/10.3390/children8100927
url http://hdl.handle.net/10486/716892
https://dx.doi.org/10.3390/children8100927
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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