Umbilical cord entanglement in мonochorionic monoamniotic twins

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The case of umbilical cord entanglement in мonochorionic monoamniotic twins pregnancy is presented in this article. The role of systematically ultrasound and color Doppler examinations in the diagnosis of the umbilical cord entanglement and modern approaches in management of мonochorionic monoamniotic twins pregnancies is discussed.

作者简介

Elizaveta Shelaeva

Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: eshelaeva@yandex.ru
senior scientific researcher of laboratory physiology and pathophysiology of fetus

Victoria Prokhorova

Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: viprokhorova@yandex.ru
head of ultrasound department

Ol’ga Arzhanova

Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

MD, professor, the head of I department of pathology of pregnancy

Kristina Oganyan

Saint Petersburg State University

assistant of Department of obstetrics and gynecology

Vyacheslav Bolotskikh

Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

MD, Head physician

参考

  1. Хасанов А.А., Галимова И.Р., Евграфов О.Ю., и др. К вопросу о ведении пациенток с монохориальной моноамниотической двойней при переплетении пуповин // Практическая медицина. Т. 2: Актуальные проблемы медицины. Акушерство и гинекология. - 2013. - № 1-2. - С. 167-169. [Khasanov АА, Galimova IR, Evgrafov OY, et al. K Voprosu o vedenii pacientok s monophorial’noy monoamnional’noy dvoyney pri perepletenii pupovin. Practicheskaya Medicina. In 2. Aktual’nye Problemi medicini. Akchuchtrstvo i Gynekologia. 2013;(1-2): 167-169. (In Russ.)]
  2. Allen VM, Windrim R, Barrett J, Ohlsson A. Management of monoamniotic twin pregnancies: a case series and systematic review of the literature. BJOG 2001;108:931-936. doi: 10.1111/j.1471-0528.2001.00216.x.
  3. Dias T, Mahsud-Dornan S, et al. Cord entanglement and perinatal outcome in monoamniotic twin pregnancies. Ultrasound Obstet Gynecol. 2010;35:201-4. doi: 10.1002/uog.7501.
  4. ISUOG Practice Guidelines: role of ultrasound in twin pregnancy. Ultrasound Obstet Gynecol. 2016;47: 247-63. doi: 10.1002/uog.15821.
  5. Faber R, Stepan H. Umbilical cord entanglement in monoamniotic twins. Ultrasound Obstet Gynecol. 2004;24:592-3. doi: 10.1002/uog.1735.
  6. Pasquini L, Wimalasundera RC, et al. High perinatal survival in monoamniotic twins managed by prophylactic sulindac, intensive ultrasound surveillance, and Cesarean delivery at 32 weeks’ gestation. Ultrasound Obstet Gynecol. 2006;28:681-7. doi: 10.1002/uog.3811.
  7. Ritossa M, O’Loughlin J. Monoamniotic twin pregnancy and cord entanglement: a clinical dilemma. Aust N Z J Obstet Gynaecol. 1996;36:309-12. doi: 10.1111/j.1479-828X.1996.tb02717.x.
  8. Roqueˆ H, Gillen-Goldstein J, Funai E, et al. Perinatal outcomes in monoamniotic gestations. J Matern Fetal Neonatal Med. 2003;13:414-21. doi: 10.1080/jmf.13.6.414.421.
  9. Slotnick RN, Ortega JE. Monoamniotic twinning and zona manipulation: a survey of U.S. IVF centers correlating zona manipulation procedures and high-risk twinning frequency. J Assist Reprod Genet. 1996;13:381-5. doi: 10.1007/BF02066168.

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版权所有 © Shelaeva E.V., Prokhorova V.S., Arzhanova O.N., Oganyan K.A., Bolotskikh V.M., 2016

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