双胎妊娠，自然减为辛格尔顿。

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-10-20 DOI:10.1097/GRF.0000000000000820

Kristina E Sondgeroth

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引用次数: 0

摘要

双胎妊娠单胎宫内死亡的风险增加。妊娠早期丢失是双胎妊娠常见的并发症。当单胎死亡发生在孕中期和孕晚期时，共双胎的发病率和死亡率更高。单核细胞增多症严重影响存活的同卵双胞胎的预后。胎儿超声结合MRI可能有助于预测存活的双胞胎的神经损伤。同卵双胞胎的死亡率随着妊娠期的延长而降低。单胎宫内死亡后，单绒毛膜妊娠应在妊娠34周分娩，双绒毛膜妊娠则应在妊娠36至37周分娩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Twin Gestation With Spontaneous Reduction To Singleton.

Twin gestations are at increased risk of single intrauterine fetal death. A first-trimester loss is a common complication in twin gestations. The rate of co-twin morbidity and mortality is higher when a single demise occurs in the second and third trimesters. Monochorionicity strongly influences the prognosis for the surviving co-twin. Fetal ultrasound combined with MRI may be able to help predict neurological injury to the surviving co-twin. The rate of co-twin demise decreases with advancing gestation. After single intrauterine fetal demise, monochorionic gestations should be delivered by 34 weeks and dichorionic by 36 to 37 weeks gestation.

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来源期刊

Clinical obstetrics and gynecology 医学-妇产科学

CiteScore

2.70

自引率

0.00%

发文量

186

审稿时长

3 months

期刊介绍： Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.