Diagnosis of selective fetal growth restriction syndrome and reversed arterial perfusion in monochorionic multiple pregnancy
- Authors: Kostyukov K.V.1, Gladkova K.A.1
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Affiliations:
- Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
- Issue: No 2 (2016)
- Pages: 14-18
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247592
- DOI: https://doi.org/10.18565/aig.2016.2.14-18
- ID: 247592
Cite item
Open Access
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Abstract
Objective. To carry out a systematic review of the data available in the present-day literature, and the principles and methods of diagnosing complications due to monochorionic multiple pregnancy. Material and methods. The review included the data of the foreign articles and clinical protocols published in the past 5 years, which had been found in Pubmed and ScienceDirect on this topic. Results. The paper gives current diagnostic standards for complications due to monochorionic multiple pregnancy, such as selective fetal growth restriction syndrome and reversed arterial perfusion syndrome. The authors analyzed a number of publications on this topic and described the diagnostic criteria for the examined syndromes, the causes of the abnormalities, and approaches to the problem of intrauterine intervention in different gestational periods. Particular emphasis is placed on the evaluation of the fetal status and on the choice of tactics in the management of complicated pregnancy. Conclusion. The use of the clinical guidelines and examination protocols in monochorionic twins, which are given in the review, will be able to timely diagnose the complications and to perform adequate treatment.
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About the authors
Kirill Vital'evich Kostyukov
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
Email: k_kostykov@oparina4.ru
PhD, Department of the Functional Diagnosis
Kristina Aleksandrovna Gladkova
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation
Email: k_gladkova@oparina4.ru
PhD, researcher, Obstetrics Pathology Department
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