Table of Contents
To view the fulltext, log-in or choose pay-per-view options:
Get Access

Pregnancy Outcomes following Bipolar Umbilical Cord Cauterization for Selective Termination in Complicated Monochorionic Multiple Gestations

Ilagan J.G. · Wilson R.D. · Bebbington M. · Johnson M.P. · Hedrick H.L. · Liechty K.W. · Adzick N.S.
Center for Fetal Diagnosis and Treatment at the Children’s Hospital of Philadelphia, Department of Surgery and Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA Fetal Diagn Ther 2008;23:145–150 (DOI:10.1159/000111598)


Objective: To review pregnancy and childhood outcomes following selective termination by ultrasound guided bipolar umbilical cord cauterization (UCC) in complicated monochorionic multifetal pregnancies. Study Design: Consenting patients (27 of 49, 55%) had review of pregnancy history and pediatric development in the surviving twin following selective UCC. Results: UCC was performed at 21.2 ± 2.8 weeks gestational age, followed by a liveborn delivery (n = 28) at 34.4 ± 4.7 weeks. Mean birth weight was 2,218 ± 926 g. Complications included preterm labor (25.0%), premature rupture of membranes (17.8%), placental abruption (10.7%) and chorioamnionitis (7.1%). Perinatal mortality was 10.3% in continuing fetuses. However, 96.2% of pregnancies achieved livebirths with 96% of neonates showing apparently normal development between ages 1.5 and 5 years. Conclusion: Bipolar UCC is a reasonably safe and effective treatment for selective termination in complicated monochorionic pregnancies.


Individual Users: Register with Karger Login Information

Please create your User ID & Password

Contact Information

I have read the Karger Terms and Conditions and agree.

Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50