Significance of placental cord insertion site in twin pregnancy

@article{Kalafat2018SignificanceOP,
  title={Significance of placental cord insertion site in twin pregnancy},
  author={Erkan Kalafat and Baskaran Thilaganathan and Aris T. Papageorghiou and Amar Bhide and Asma Khalil},
  journal={Ultrasound in Obstetrics \& Gynecology},
  year={2018},
  volume={52}
}
To investigate the association between abnormal cord insertion and the development of twin‐specific complications, including birth‐weight discordance, selective fetal growth restriction (sFGR) and twin‐to‐twin transfusion syndrome (TTTS). 
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37 Citations
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37 Citations

Intertwin membrane cord insertion in dichorionic twin pregnancy: The description and comparison with other umbilical cord insertion types

TLDR
There is no definition of velamentous cord insertion into the intertwine membrane between two fetuses in the literature, but normal cord insertions more common in twin pregnancies compared to singleton pregnancies and velamentously cord insertion is related with poor pregnancy outcomes.

Differences in placentation in monochorionic twin pregnancies

Placental characteristics in different types of selective fetal growth restriction in monochorionic diamniotic twins

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This study aimed to explore the difference in placental characteristics among three types of selective fetal growth restriction in monochorionic diamniotic twin pregnancies and found the earlier onset time of sFGR II and III might be due to their higher placental territory discordance.

Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta‐analysis

To explore the impact of severity and management (expectant, laser treatment or selective reduction) on perinatal outcome of monochorionic twin pregnancies complicated by selective fetal growth…

Velamentous insertion of the umbilical cord in monochorionic triplet pregnancy: life-saving condition?

A 26-year-old gravida 2 para 1 woman had a monochorionic-triamniotic (MT) triplet pregnancy that was eventually terminated by emergency caesarean section at week 31 of gestation owing to rapid…

Perinatal outcome of monochorionic twin pregnancies complicated by selective fetal growth restriction according to management: a systematic review and meta-analysis: Outcome of sFGR by management: a meta-analysis

TLDR
The impact of severity and management (expectant, laser treatment or selective reduction) on perinatal outcome of monochorionic twin pregnancies complicated by selective intra-uterine growth restriction is explored.

What fetal medicine specialists should know about the monochorionic placenta.

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  • Medicine
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  • 2022

Intertwin‐membrane insertion: An ultrasound marker of defective growth in dichorionic/diamniotic twins

The incidence of twin pregnancies has been gradually raising over the past several decades, mainly due to the shift toward a more advanced maternal age at conception and to an increased use of…

Intermittent absent and reversed umbilical artery flows in appropriately grown monochorionic diamniotic twins in relation to proximate cord insertion: A harmful combination?

To compare the prevalence of intermittent absent or reversed end‐diastolic flow (iAREDF) in the umbilical artery in appropriately grown monochorionic diamniotic (MCDA) pregnancies with and without…

The effect of placental location identified before delivery on birthweight discordance among diamniotic-dichorionic twin pregnancies: a three-year retrospective cohort study

TLDR
It is concluded that discordant birthweight is not affected by same location of diamniotic-dichorionic placentas, and the mean value nor the absolute difference in birth weight was associated with placental location combination.

References

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TLDR
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TLDR
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TLDR
The substantial increase in birth weight discordancy in monochorionic diamniotic twins that accompanies velamentous UCI underscores the need for prenatal detection and increased surveillance in these twins.
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