Abstract:
:The increase in multiple gestation pregnancies has resulted in significant health care implications for both mother and child. Our ability to diagnose and intervene on an at-risk multi-gestation pregnancy has dramatically improved. It is important for the pediatric surgeon to be equipped with a basic fund of knowledge concerning these pregnancies. An understanding of amnionicity and chorionicity will equip the practitioner with the ability to identify which pregnancies are at risk for specific complications. This article highlights multi-gestation pregnancies that are monochorionic (single shared placenta) and can be complicated by twin-twin transfusion syndrome (TTTS), twin reversed arterial perfusion (TRAP) sequence, twin anemia polycythemia sequence (TAPS), or selective fetal intrauterine growth restriction (sIUGR). The risk of fetal demise is significant in these pregnancies. Understanding recommended surveillance and warning signs can alert surgeons to developing complications. Specialized fetal care centers possess the ability to intervene on these pregnancies in utero.
journal_name
Semin Pediatr Surgjournal_title
Seminars in pediatric surgeryauthors
Marwan AI,Zaretsky M,Feltis Bdoi
10.1053/j.sempedsurg.2019.07.008subject
Has Abstractpub_date
2019-08-01 00:00:00pages
150825issue
4eissn
1055-8586issn
1532-9453pii
S1055-8586(19)30083-6journal_volume
28pub_type
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:10.1053/j.sempedsurg.2018.10.007
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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