Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies
We conducted a search for international clinical guidelines related to prenatal screening during monochorionic pregnancies. We found 25 resources from 13 countries/regions and extracted information related to general screening as well as screening related to specific monochorionic complications, inc...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/5/1128 |
| _version_ | 1797412266305388544 |
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| author | Lauren Nicholas Rebecca Fischbein Stephanie Ernst-Milner Roshni Wani |
| author_facet | Lauren Nicholas Rebecca Fischbein Stephanie Ernst-Milner Roshni Wani |
| author_sort | Lauren Nicholas |
| collection | DOAJ |
| description | We conducted a search for international clinical guidelines related to prenatal screening during monochorionic pregnancies. We found 25 resources from 13 countries/regions and extracted information related to general screening as well as screening related to specific monochorionic complications, including twin-twin transfusion syndrome (TTTS), selective fetal growth restriction (SFGR), and twin anemia-polycythemia sequence (TAPS). Findings reveal universal recommendation for the early establishment of chorionicity. Near-universal recommendation was found for bi-weekly ultrasounds beginning around gestational week 16; routine TTTS and SFGR surveillance comprised of regularly assessing fetal growth, amniotic fluids, and bladder visibility; and fetal anatomical scanning between gestational weeks 18–22. Conflicting recommendation was found for nuchal translucency screening; second-trimester scanning for cervical length; routine TAPS screening; and routine umbilical artery, umbilical vein, and ductus venosus assessment. We conclude that across international agencies and organizations, clinical guidelines related to monochorionic prenatal screening vary considerably. This discord raises concerns related to equitable access to evidence-based monochorionic prenatal care; the ability to create reliable international datasets to help improve the quality of monochorionic research; and the promotion of patient safety and best monochorionic outcomes. Patients globally may benefit from the coming together of international bodies to develop inclusive universal monochorionic prenatal screening standards. |
| first_indexed | 2024-03-09T05:00:31Z |
| format | Article |
| id | doaj.art-d910fa50e9df445b8611fdc771298682 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T05:00:31Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d910fa50e9df445b8611fdc7712986822023-12-03T13:01:30ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-01105112810.3390/jcm10051128Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic PregnanciesLauren Nicholas0Rebecca Fischbein1Stephanie Ernst-Milner2Roshni Wani3Department of Social Sciences, D’Youville College, 591 Niagara Street, Buffalo, NY 14201, USADepartment of Family and Community Medicine, Northeast Ohio Medical University, 4209 State Route 44, P.O. Box 95, Rootstown, OH 44272, USATwin Anemia Polycythemia Sequence (TAPS) Support Foundation, Founder, 1326HS Almere, The NetherlandsDepartment of Family and Community Medicine, Northeast Ohio Medical University, 4209 State Route 44, P.O. Box 95, Rootstown, OH 44272, USAWe conducted a search for international clinical guidelines related to prenatal screening during monochorionic pregnancies. We found 25 resources from 13 countries/regions and extracted information related to general screening as well as screening related to specific monochorionic complications, including twin-twin transfusion syndrome (TTTS), selective fetal growth restriction (SFGR), and twin anemia-polycythemia sequence (TAPS). Findings reveal universal recommendation for the early establishment of chorionicity. Near-universal recommendation was found for bi-weekly ultrasounds beginning around gestational week 16; routine TTTS and SFGR surveillance comprised of regularly assessing fetal growth, amniotic fluids, and bladder visibility; and fetal anatomical scanning between gestational weeks 18–22. Conflicting recommendation was found for nuchal translucency screening; second-trimester scanning for cervical length; routine TAPS screening; and routine umbilical artery, umbilical vein, and ductus venosus assessment. We conclude that across international agencies and organizations, clinical guidelines related to monochorionic prenatal screening vary considerably. This discord raises concerns related to equitable access to evidence-based monochorionic prenatal care; the ability to create reliable international datasets to help improve the quality of monochorionic research; and the promotion of patient safety and best monochorionic outcomes. Patients globally may benefit from the coming together of international bodies to develop inclusive universal monochorionic prenatal screening standards.https://www.mdpi.com/2077-0383/10/5/1128monochorionic twin pregnancyscreeningclinical guidelines |
| spellingShingle | Lauren Nicholas Rebecca Fischbein Stephanie Ernst-Milner Roshni Wani Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies Journal of Clinical Medicine monochorionic twin pregnancy screening clinical guidelines |
| title | Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies |
| title_full | Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies |
| title_fullStr | Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies |
| title_full_unstemmed | Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies |
| title_short | Review of International Clinical Guidelines Related to Prenatal Screening during Monochorionic Pregnancies |
| title_sort | review of international clinical guidelines related to prenatal screening during monochorionic pregnancies |
| topic | monochorionic twin pregnancy screening clinical guidelines |
| url | https://www.mdpi.com/2077-0383/10/5/1128 |
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