Selective delivery in a twin gestation.

Abstract:

:One or more infants of a multifetal pregnancy occasionally require delivery selectively because of in utero risk of fetal death in circumstances in which the sibling fetus appears well. At 26 weeks 5 days of gestation a small fundally placed twin in a dichorionic gestation had an estimated fetal weight of 650 g with decreased amniotic fluid and ominous Doppler velocity findings in his umbilical artery. A normally grown presenting sibling had reassuring fetal surveillance data. Over a 2-week interval the growth-restricted twin showed no growth, and his status deteriorated. He was selectively delivered by hysterotomy. Selective delivery may offer parents of multifetal gestations an additional option when 1 or more of their fetuses are at high risk for in utero death.

journal_name

Am J Obstet Gynecol

authors

Porreco RP,Sabin ED,Heyborne KD,Lingle JR

doi

10.1016/s0002-9378(98)70285-6

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

264-5

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002937898702856

journal_volume

179

pub_type

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