Universität zu Köln

Walter, Adeline, Strizek, Brigitte, Berg, Christoph, Geipel, Annegret, Gembruch, Ulrich ORCID: 0000-0001-8284-4669 and Engels, Alexander C. ORCID: 0000-0002-8478-5831 (2020). Outcome of monochorionic twins with prenatally diagnosed bipartite placenta. Arch. Gynecol. Obstet., 302 (6). S. 1549 - 1553. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

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Abstract

Purpose The objective of this study was to identify possible implications and risk factors in monochorionic (MC) twin pregnancies having a bipartite placenta. Materials Between 2014 and 2019 data on such pregnancies was prospectively collected and retrospectively analyzed. Monochorionicity was confirmed either by the presence of a T-sign, one chorion and two separate amnion cavities, or by histological examination postnatally. Bipartite placenta was diagnosed when two placenta lobes were identified with no placental connection between them. Risks of bipartite placenta in MCDA twins were evaluated by background data, prenatal and postnatal outcome. Results Five twin pregnancies were included in the study. 60 % (n = 3) were complicated by twin-twin-transfusion syndrome (TTTS), 20 % by selective intrauterine growth restriction (sIUGR) (n = 1) and 20 % (n = 1) by severe fetal malformations. In every case an intervention was indicated, but in only 60% (n = 3) possible, due to poor surgical conditions. Overall fetal survival rate at birth was 90 %. Neonatal survival rate was 66.63%. Conclusion Bipartite placenta is a very rare phenomenon in MCDA twin pregnancies. It seems to be associated with a higher rate of complications, such as TTTS and sIUGR and might induce surgical difficulties in prenatal interventions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walter, Adeline UNSPECIFIED UNSPECIFIED UNSPECIFIED Strizek, Brigitte UNSPECIFIED UNSPECIFIED UNSPECIFIED Berg, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Geipel, Annegret UNSPECIFIED UNSPECIFIED UNSPECIFIED Gembruch, Ulrich UNSPECIFIED orcid.org/0000-0001-8284-4669 UNSPECIFIED Engels, Alexander C. UNSPECIFIED orcid.org/0000-0002-8478-5831 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-310512
DOI:	10.1007/s00404-019-05364-w
Journal or Publication Title:	Arch. Gynecol. Obstet.
Volume:	302
Number:	6
Page Range:	S. 1549 - 1553
Date:	2020
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-0711
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PREGNANCIES; CHORIONICITY Multiple languages Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31051