Perinatal outcome of monoamniotic twin pregnancies

Karien E. Hack; Jan B. Derks; Arty H. Schaap; Enrico Lopriore; Sjoerd G. Elias; Birgit Arabin; Alex J. Eggink; Krystyna M. Sollie; Ben Willem J. Mol; Hans J. Duvekot; Christine Willekes; Attie T. Go; Corine Koopman-Esseboom; Frank P. Vandenbussche; Gerard H. Visser

doi:10.1097/AOG.0b013e318195bd57

Perinatal outcome of monoamniotic twin pregnancies

Karien E. Hack, Jan B. Derks, Arty H. Schaap, Enrico Lopriore, Sjoerd G. Elias, Birgit Arabin, Alex J. Eggink, Krystyna M. Sollie, Ben Willem J. Mol, Hans J. Duvekot, Christine Willekes, Attie T. Go, Corine Koopman-Esseboom, Frank P. Vandenbussche, Gerard H. Visser

Applied Health Sciences

Wilhelmina Children's Hospital

Research output: Contribution to journal › Article › peer-review

100 Citations (Scopus)

Abstract

OBJECTIVE:: To study perinatal mortality and neonatal morbidity in a large cohort of monoamniotic twin pregnancies with special emphasis to the gestational age-specific mortality. METHODS:: The study included monoamniotic twin pregnancies delivered in 10 perinatal centers in the Netherlands between January 2000 and December 2007. RESULTS:: A total of 98 monoamniotic pregnancies were included. The perinatal mortality rate (20 weeks of gestation through 28 days of life) was 19%; after exclusion of fetuses with lethal anomalies, the rate was 17%. After 32 weeks of gestation, only two pregnancies were complicated by perinatal mortality (4%). The incidence of twin-twin transfusion syndrome was 6%. The incidence of congenital heart anomalies and cerebral injury was 4% and 5%, respectively. CONCLUSION:: The current incidence of perinatal mortality in monoamniotic twins is considerably lower than in previous decades, but it is still high and occurs throughout pregnancy.

Original language	English
Pages (from-to)	353-360
Number of pages	8
Journal	Obstetrics and Gynecology
Volume	113
Issue number	2 PART 1
DOIs	https://doi.org/10.1097/AOG.0b013e318195bd57
Publication status	Published - 1 Feb 2009

Access to Document

10.1097/AOG.0b013e318195bd57

Cite this

Hack, K. E., Derks, J. B., Schaap, A. H., Lopriore, E., Elias, S. G., Arabin, B., Eggink, A. J., Sollie, K. M., Mol, B. W. J., Duvekot, H. J., Willekes, C., Go, A. T., Koopman-Esseboom, C., Vandenbussche, F. P., & Visser, G. H. (2009). Perinatal outcome of monoamniotic twin pregnancies. Obstetrics and Gynecology, 113(2 PART 1), 353-360. https://doi.org/10.1097/AOG.0b013e318195bd57

@article{a378a08a5cf7466cb820daf86eba9196,

title = "Perinatal outcome of monoamniotic twin pregnancies",

abstract = "OBJECTIVE:: To study perinatal mortality and neonatal morbidity in a large cohort of monoamniotic twin pregnancies with special emphasis to the gestational age-specific mortality. METHODS:: The study included monoamniotic twin pregnancies delivered in 10 perinatal centers in the Netherlands between January 2000 and December 2007. RESULTS:: A total of 98 monoamniotic pregnancies were included. The perinatal mortality rate (20 weeks of gestation through 28 days of life) was 19%; after exclusion of fetuses with lethal anomalies, the rate was 17%. After 32 weeks of gestation, only two pregnancies were complicated by perinatal mortality (4%). The incidence of twin-twin transfusion syndrome was 6%. The incidence of congenital heart anomalies and cerebral injury was 4% and 5%, respectively. CONCLUSION:: The current incidence of perinatal mortality in monoamniotic twins is considerably lower than in previous decades, but it is still high and occurs throughout pregnancy.",

author = "Hack, {Karien E.} and Derks, {Jan B.} and Schaap, {Arty H.} and Enrico Lopriore and Elias, {Sjoerd G.} and Birgit Arabin and Eggink, {Alex J.} and Sollie, {Krystyna M.} and Mol, {Ben Willem J.} and Duvekot, {Hans J.} and Christine Willekes and Go, {Attie T.} and Corine Koopman-Esseboom and Vandenbussche, {Frank P.} and Visser, {Gerard H.}",

year = "2009",

month = feb,

day = "1",

doi = "10.1097/AOG.0b013e318195bd57",

language = "English",

volume = "113",

pages = "353--360",

journal = "Obstetrics and Gynecology",

issn = "0029-7844",

publisher = "Lippincott Williams and Wilkins",

number = "2 PART 1",

}

TY - JOUR

T1 - Perinatal outcome of monoamniotic twin pregnancies

AU - Hack, Karien E.

AU - Derks, Jan B.

AU - Schaap, Arty H.

AU - Lopriore, Enrico

AU - Elias, Sjoerd G.

AU - Arabin, Birgit

AU - Eggink, Alex J.

AU - Sollie, Krystyna M.

AU - Mol, Ben Willem J.

AU - Duvekot, Hans J.

AU - Willekes, Christine

AU - Go, Attie T.

AU - Koopman-Esseboom, Corine

AU - Vandenbussche, Frank P.

AU - Visser, Gerard H.

PY - 2009/2/1

Y1 - 2009/2/1

N2 - OBJECTIVE:: To study perinatal mortality and neonatal morbidity in a large cohort of monoamniotic twin pregnancies with special emphasis to the gestational age-specific mortality. METHODS:: The study included monoamniotic twin pregnancies delivered in 10 perinatal centers in the Netherlands between January 2000 and December 2007. RESULTS:: A total of 98 monoamniotic pregnancies were included. The perinatal mortality rate (20 weeks of gestation through 28 days of life) was 19%; after exclusion of fetuses with lethal anomalies, the rate was 17%. After 32 weeks of gestation, only two pregnancies were complicated by perinatal mortality (4%). The incidence of twin-twin transfusion syndrome was 6%. The incidence of congenital heart anomalies and cerebral injury was 4% and 5%, respectively. CONCLUSION:: The current incidence of perinatal mortality in monoamniotic twins is considerably lower than in previous decades, but it is still high and occurs throughout pregnancy.

AB - OBJECTIVE:: To study perinatal mortality and neonatal morbidity in a large cohort of monoamniotic twin pregnancies with special emphasis to the gestational age-specific mortality. METHODS:: The study included monoamniotic twin pregnancies delivered in 10 perinatal centers in the Netherlands between January 2000 and December 2007. RESULTS:: A total of 98 monoamniotic pregnancies were included. The perinatal mortality rate (20 weeks of gestation through 28 days of life) was 19%; after exclusion of fetuses with lethal anomalies, the rate was 17%. After 32 weeks of gestation, only two pregnancies were complicated by perinatal mortality (4%). The incidence of twin-twin transfusion syndrome was 6%. The incidence of congenital heart anomalies and cerebral injury was 4% and 5%, respectively. CONCLUSION:: The current incidence of perinatal mortality in monoamniotic twins is considerably lower than in previous decades, but it is still high and occurs throughout pregnancy.

UR - http://www.scopus.com/inward/record.url?scp=60549114904&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e318195bd57

DO - 10.1097/AOG.0b013e318195bd57

M3 - Article

C2 - 19155906

AN - SCOPUS:60549114904

SN - 0029-7844

VL - 113

SP - 353

EP - 360

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

IS - 2 PART 1

ER -

Perinatal outcome of monoamniotic twin pregnancies

Abstract

Access to Document

Other files and links

Fingerprint

Cite this