Prediction of specific complications of monochorionic multiple pregnancy in the first trimester


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Abstract

Objective. To assess the role of echographic markers of the f irst trimester in predicting specif ic complications of monochorionic multiple pregnancy. Subjects and methods. A retrospective cohort study was conducted in 143 pregnant women with monochorionic diamniotic twins who underwent an echographic study in the first trimester of pregnancy. Results. The study revealed a statistically significant relationship of the development of complications to the following echographic parameters, such as collar space thickness (CST), blood flow pulsatility index in the venous duct, coccyx-parietal size discordance, and fetal abdominal circumference. Conclusion. This study based on the analysis of first-trimester screening results in patients with monochorionic multiple pregnancies allows identification of a group of high-risk pregnant women who need closer monitoring for timely diagnosis and treatment.

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About the authors

Kirill V. Kostyukov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: kostyukov_k@yahoo.com

Victoria A. Sakalo

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_sakalo@oparina4.ru

Kristina A. Gladkova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: k_gladkova@oparina4.ru

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