Predisposing factors and neonatal outcomes for twin-twin transfusion syndrome cases developing transient donor hydrops after fetoscopic laser coagulation: a case control study

Bibliographic Details
Title: Predisposing factors and neonatal outcomes for twin-twin transfusion syndrome cases developing transient donor hydrops after fetoscopic laser coagulation: a case control study
Authors: Yao-Lung Chang, An-Shine Chao, Shuenn-Dyh Chang, Wen-Fang Li, Po-Jen Cheng
Source: BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-6 (2019)
Publisher Information: BMC, 2019.
Publication Year: 2019
Collection: LCC:Gynecology and obstetrics
Subject Terms: Twin-twin transfusion syndrome, Donor hydrops, Laser therapy, Quintero stage, Gynecology and obstetrics, RG1-991
More Details: Abstract Background Transient donor hydrops (TDH) is defined as donor hydrops developed within days after laser therapy for twin–twin transfusion syndrome (TTTS) followed by resolution later. The purpose of this study was to evaluate the incidence, neonatal outcomes and predisposing factors of post laser therapy TDH in severe TTTS. Methods A total of 142 patients with severe TTTS who received laser therapy were included into this study. The pre-operative characteristics and neonatal outcomes were compared between TTTS with and without post laser therapy TDH. All live neonates received cranial ultrasound examination after delivery, mild cerebral injury was defined as exhibiting at least one of the following: intraventricular hemorrhage (IVH) grade I and II, lenticulostriate vasculopathy and subependymal pseudocysts; severe cerebral injury comprised at least one among the following: IVH grade III or grade IV, cystic periventriculoleukomalacia (PVL) grade II or more, porencephalic cysts, and ventricular dilatation. Fetal survival was defined as living more than 30 days after delivery. Results
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2393
Relation: http://link.springer.com/article/10.1186/s12884-019-2236-4; https://doaj.org/toc/1471-2393
DOI: 10.1186/s12884-019-2236-4
Access URL: https://doaj.org/article/e15d3b1498b849c4b5d54c50523b1612
Accession Number: edsdoj.15d3b1498b849c4b5d54c50523b1612
Database: Directory of Open Access Journals
More Details
ISSN:14712393
DOI:10.1186/s12884-019-2236-4
Published in:BMC Pregnancy and Childbirth
Language:English