Монохориальное моноамниотическое многоплодие – основные осложнения и подходы к ведению беременности

Статья в Elpub

Акушерство и Гинекология Санкт-Петербурга. 2019; : 14-18

Монохориальное моноамниотическое многоплодие – основные осложнения и подходы к ведению беременности

Романовский А. Н., Михайлов А. В., Каштанова Т. А., Кузнецов А. А., Шлыкова А. В., Кянксеп И. В., Мовчан В. Е., Базаров И. Р.

Аннотация

В статье представлен обзор современных представлений об особенностях ведения беременности при моноамниотических двойнях. Описаны основные специфические осложнения моноамниотического многоплодия – синдром неразделившихся близнецов, коллизия пуповин плодов, наличие дискордантных аномалий развития, а также особенности синдрома фето-фетальной трансфузии при этом типе многоплодия. Представлены современные принципы ведения моноамниотических двоен и подходы к тактике и срокам их родоразрешения.

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Obstetrics and Gynaecology of Saint-Petersburg. 2019; : 14-18

Monochorionic monoamniotic multiple pregnancy – main complications and management

Romanovsky A. N., Mikhailov A. V., Kashtanova T. A., Kuznetsov A. A., Shlykova A. V., Kyanksep I. V., Movchan V. E., Bazarov I. R.

Abstract

This article presents the review of current ideas about the features of pregnancy management in monoamniotic twins. The main specific complications of monoamniotic pregnancy are described - the syndrome of coinjoined twins, collision of umbilical cords, discordant congenital abnormalities, as well as the features of twin-to-twin transfusion syndrome in this type of multiple pregnacy. Modern approaches to management of monoamniotic twins and terms of their elective delivery are presented.

References

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