Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations
Twin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Toda...
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MDPI AG
2021-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/10/927 |
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| author | María de la Calle Jose L. Bartha Henar Serrano David Ramiro-Cortijo |
| author_facet | María de la Calle Jose L. Bartha Henar Serrano David Ramiro-Cortijo |
| author_sort | María de la Calle |
| collection | DOAJ |
| description | Twin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Today, the repercussions of IUFD may have on the surviving fetus, mother and bichorionic pregnancy are not known. Our objective was to study materno-obstetrical, fetal, and immediate delivery neonatal complications in bichorionic twin gestations with single IUFD compared to those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD after 14 weeks (cases; IUFD group) and 51 with both fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid, Spain). The data were collected from obstetrical records. No significant differences were found in the rates of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity between IUFD and non-IUFD groups. Statistical differences were found for the incidence of intrauterine growth restriction in the surviving fetus compared to first fetus of pregnancy with both fetuses alive (22.7% versus 2.0%, respectively; <i>p</i>-value = 0.012). There were no differences compared to second fetus (11.8%; <i>p</i>-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6%, non-IUFD = 64.7%; <i>p</i>-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is a rare complication that should be closely monitored. It is essential that these gestations be attended by a clinical multidisciplinary team. |
| first_indexed | 2024-03-10T06:38:30Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T06:38:30Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-5d61bee3499d4ec69915bf04d7761c1c2023-11-22T17:51:22ZengMDPI AGChildren2227-90672021-10-0181092710.3390/children8100927Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin GestationsMaría de la Calle0Jose L. Bartha1Henar Serrano2David Ramiro-Cortijo3Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainObstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainAnesthesiology and Resuscitation Service, Hospital General Universitario de Toledo, Avenida del Río Guadiana, 45007 Toledo, SpainDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/Arzobispo Morcillo 2, 28049 Madrid, SpainTwin pregnancies are high-risk gestations that increase the odds of obstetrical complications. They can also present specific and rare complications such as single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Today, the repercussions of IUFD may have on the surviving fetus, mother and bichorionic pregnancy are not known. Our objective was to study materno-obstetrical, fetal, and immediate delivery neonatal complications in bichorionic twin gestations with single IUFD compared to those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD after 14 weeks (cases; IUFD group) and 51 with both fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid, Spain). The data were collected from obstetrical records. No significant differences were found in the rates of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity between IUFD and non-IUFD groups. Statistical differences were found for the incidence of intrauterine growth restriction in the surviving fetus compared to first fetus of pregnancy with both fetuses alive (22.7% versus 2.0%, respectively; <i>p</i>-value = 0.012). There were no differences compared to second fetus (11.8%; <i>p</i>-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6%, non-IUFD = 64.7%; <i>p</i>-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is a rare complication that should be closely monitored. It is essential that these gestations be attended by a clinical multidisciplinary team.https://www.mdpi.com/2227-9067/8/10/927twin pregnancybichorionic biamnioticintrauterine fetal deathmaternal complicationsfetal complications |
| spellingShingle | María de la Calle Jose L. Bartha Henar Serrano David Ramiro-Cortijo Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations Children twin pregnancy bichorionic biamniotic intrauterine fetal death maternal complications fetal complications |
| title | Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations |
| title_full | Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations |
| title_fullStr | Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations |
| title_full_unstemmed | Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations |
| title_short | Obstetric Outcomes in the Surviving Fetus after Intrauterine Fetal Death in Bichorionic Twin Gestations |
| title_sort | obstetric outcomes in the surviving fetus after intrauterine fetal death in bichorionic twin gestations |
| topic | twin pregnancy bichorionic biamniotic intrauterine fetal death maternal complications fetal complications |
| url | https://www.mdpi.com/2227-9067/8/10/927 |
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