EXPORT CITATION

Chapter-06 Management of Discordant Twins

BOOK TITLE: Manual of Genetics Fetal Medicine and Color Doppler

Author
1. Radhakrishnan Prathima
2. Thakar Saket
ISBN
9789352703746
DOI
10.5005/jp/books/18023_7
Edition
1/e
Publishing Year
2018
Pages
3
Author Affiliations
1. Bangalore Fetal Medicine Centre, 2E, Rich Homes, 2nd floor, 5/1, Richmond Road, Bangalore 560 025, India, Bangalore Fetal Medicine Centre, Bengaluru, Karnataka, India, Bangalore Fetal Medicine Center, Bengaluru, Karnataka, India
Chapter keywords
Discordant twin, twin pregnancy, chromosomal anomaly, monochorionic, dichorionic, chronionicity, twin-to-twin transfusion syndrome, TTTS, fetal growth restriction

Abstract

One of the very important aspects of scanning twin pregnancies is to essentially look for discordance in growth, Doppler recordings, amniotic fluid, aneuploidy markers and anatomy. Also, presence of two fetuses means that each one can serve as the other’s control. Discordance in twin pregnancy can be broadly classified into two types following as discordance in growth and discordance in structural or chromosomal anomalies. It can be further classified depending upon type of twinning, i.e. monochorionic or dichorionic. It is proven beyond exceptions that management of any kind of discordance must be chorionicity specific. Twin pregnancies are high risk pregnancies for fetal and maternal outcomes. In twin pregnancies, one fetus acts as a “control” for the other to assess any discordance, particularly for the growth. Chronionicity is crucial not only for the follow up of these pregnancies but also for the management of the pregnancy especially when there is discordance with delivery and intervention.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved