Complex multigestational anomalies.

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 Surg

authors

Marwan AI,Zaretsky M,Feltis B

doi

10.1053/j.sempedsurg.2019.07.008

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

150825

issue

4

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(19)30083-6

journal_volume

28

pub_type

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