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Wyszukujesz frazę "twin pregnancy" wg kryterium: Wszystkie pola


Wyświetlanie 1-2 z 2
Tytuł:
Complications of twin pregnancies
Autorzy:
Krzanik, Klaudia
Baliś, Mikołaj
Barbachowska, Aleksandra
Janosz, Iwona
Bodzek, Piotr
Olejek, Anita
Powiązania:
https://bibliotekanauki.pl/articles/1178230.pdf
Data publikacji:
2018
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
Twins
monoamniotic pregnancy
monochromic pregnancy
multiple pregnancies
perinatology
premature labor
twin-to-twin transfusion syndrome
umbilical cord collision
Opis:
Twin pregnancy in the population of Europe is relatively common. One in eighty deliveries results in at least two newborns’ coming to the world. Parents expecting twins are usually excited about the vision of large family, however for an obstetrician a multiple pregnancy is a challenge that involves more complications than singleton pregnancy. The risk of complications exceeds 50%, therefore twin pregnancies are considered as high risk. The most common complication is premature birth, which may result in respiratory failure of the newborn, necrotizing enterocolitis or intracranial hemorrhage. Other complications, that are characteristic for twin pregnancies only, are intrauterine growth restriction, intrauterine fetal death one of the fetuses, hemodynamic disorders due to the connecting blood vessels within the placenta in a monochorionic pregnancy or umbilical cord collision in a monoamniotic pregnancy. Perinatal care in a multiple pregnancy should include a determination of chorionicity and amionicity, prevention of premature labor and rapid diagnosis and treatment of complications. Over 75% of twin pregnancies are delivered via caesarian section which is also burdened with sequelae. Likewise, women pregnant with more than one fetuses suffer from anemia, hypertension, hyperemesis gravidarum and intrahepatic cholestasis of pregnancy more often than those in singleton pregnancies. Despite frequent complications, thanks to intensive perinatal care (numerous gynecological and ultrasound examinations, in some cases the necessity of hospitalization), perinatal mortality decreases and more twins develop properly each year.
Źródło:
World Scientific News; 2018, 93; 82-91
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Twin-to-twin transfusion syndrome (TTTS) pathogenesis, diagnostics, classification and treatment options
Autorzy:
Barbachowska, Aleksandra
Krzanik, Klaudia
Baliś, Mikołaj
Janosz, Iwona
Bodzek, Piotr
Olejek, Anita
Powiązania:
https://bibliotekanauki.pl/articles/1178204.pdf
Data publikacji:
2018
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
Perinatology
multiple pregnancy
prenatal diagnosis
twin-to-twin transfusion syndrome
Opis:
Twin to twin transfusion syndrome (TTTS) belongs to the group of multiple monochorionic pregnancies complications. The pathogenesis of this syndrome is not entirely clear, however there is a correlation between the location of the placentas trailers of umbilical cord, and the tendency to its occurrence. Moreover it is characterized by the existence of vascular connections in common placenta. It results in hemodynamic disorders, which consist in full leakage from one fetus called a "donor" to another fetus called the "recipient". Hypotony, hypotrophy, hypovolemia, anemia and oliguria are being developed in donor’s as the result. Whereas the second fetus is under the risk of hypertrophy, hypertension, hypervolaemia, polycythemia and polyhydramnios. TTTS is a complication occurring in 10-15% of all monochorionic pregnancies. If no treatment is performed the fetal mortality occurs in 60-100% of cases. Diagnosis of twin-to-twin transfusion syndrome is based on ultrasound assessment of amniotic fluid volume. The conditions of diagnose are: the occurrence of common chorioid for both twins in the first trimester and measurement of the maximum fluid pocket. The main and preferred therapeutic method is fetoscopic laser coagulation of vascular connections. Treatment depends on the age of the fetus. The most important factor affecting prognosis is early diagnosis of TTTS and consultation at the reference center of fetal therapy.
Źródło:
World Scientific News; 2018, 93; 1-9
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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