Fetal Diagnosis and Therapy
Prediction of Second Trimester Intrauterine Growth Retardation and Fetal Death in a Discordant Twin by First Trimester MeasurementsCase Report and Review of the Literature aDepartment of Gynecology, Shaare Zedek Medical Center and bJerusalem College of Technology, Jerusalem, Israel
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Article / Publication Details
Received: September 18, 1993
Accepted: June 30, 1994
Published online: November 27, 2009
Issue release date: 1995
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0
ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)
For additional information: https://www.karger.com/FDT
Abstract
Ultrasound examination at 9 weeks of gestation in a 34-year-old primigravida showed a twin pregnancy, with discrepancy in the sizes of the two gestational sacs, whereas the crownrump lengths and fetal heart rates were virtually identical – the result being an abnormal sac size/crownrump length ratio (early oligohydramnios). By 14 weeks discordant heart rates and umbilical artery flow velocities were detected, the discordance between the twins increasing as pregnancy progressed. Biparietal diameters, femoral lengths, and abdominal circumferences were also progressively discordant, and at 28 weeks the smaller twin had no heart beat. At 30 weeks the patient was delivered of a live 1,350-gram infant and a 400-gram dead fetus. This case suggests, in contradistinction to several previous reports, that fetal discordance in twin pregnancies (and perhaps intrauterine growth retardation in general) may be present as early as the first trimester.
© 1995 S. Karger AG, Basel
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Article / Publication Details
Received: September 18, 1993
Accepted: June 30, 1994
Published online: November 27, 2009
Issue release date: 1995
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0
ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)
For additional information: https://www.karger.com/FDT
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