Twin to Twin Transfusion Syndrome Foundation Banner
International Office
411 Longbeach Parkway
Bay Village, Ohio 44140 USA
800-815-9211
Medical Professionals Photo

Creating a Medical Plan of Action A Monochorionic Placenta What is Twin to Twin Transfusion Syndrome Monochorionic Placental Pictures Sonography and Appointment Questionaire Cervical Assessment, Nutrition and Bedrest Planning for Your Delivery When Pregnancy Continues with a Loss Medical Research and Articles History of Twin to Twin Transfusion Syndrome Placental Protocol Professional Letters of Support Quotes from Parents About Their Doctors International Registry

Am J Obstet Gynecol. 2000 Mar;182(3):706-12.

Obstetric and perinatal outcomes from the Australian and New Zealand twin-twin transfusion syndrome registry.
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=
Retrieve&db=
PubMed&list_uids=10739534&dopt=Abstract
Dickinson JE, Evans SF.

Department of Obstetrics and Gynaecology,
University of Western Australia, Australia.

OBJECTIVE:
Our purpose was to investigate the antepartum characteristics and perinatal outcomes of twin-twin transfusion syndrome cases from a multicenter
national registry.

STUDY DESIGN:
Perinatal centers in Australia and New Zealand voluntarily notified a central evaluation registry with information on identified pregnancies with twin-twin transfusion syndrome during 1995 through 1998.

RESULTS:
One hundred twelve cases of twin-twin transfusion syndrome were registered. The median gestation at diagnosis was 21.5 weeks (range, 14.4-34.6 weeks). Oligohydramnios-polyhydramnios sequence was the most common presentation, with 84% of cases involving "stuck" twinning. Therapeutic amnioreduction was used in 92 cases (82.1%), with the median number of procedures per case being 2 (range, 1-23). The median gestation at delivery was 29 weeks (range, 18-38 weeks). The overall perinatal
survival rate was 62.5%. Abnormal findings on
cranial ultrasonography were present in 27.3%
of live neonates, and periventricular leukomalacia
was reported in 10.8%. Increased gestational
age at delivery, the presence of umbilical artery diastolic flow, and a prolonged interval from final
amnioreduction to delivery were positively
associated with the delivery of live fetuses without complications.

CONCLUSION:
The majority of antenatally identified cases of
twin-twin transfusion syndrome are managed with
serial amnioreduction. Despite contemporary
obstetric and neonatal management strategies,
perinatal mortality and morbidity rates are high.

PMID: 10739534 [PubMed - indexed for MEDLINE]

The TTTS Foundation In The News

Shopping on Amazon, help us raise funds!


Pick The Twin to Twin Transfusion Syndrome Foundation as your charity and raise money for us as you shop!
> read more...

Recommended TTTS Book


Daniel W.Skupski, MD has published Twin-to-Twin Transfusion Syndrome, now available on Amazon
> read more...
World Awareness Day - Dec. 7 2010

TTTS Walk for the babies

Official TTTS Foundation Events
Copyright © 1997-2014 The Twin To Twin Transfusion Syndrome Foundation. All Rights Reserved
411 Longbeach Parkway, Bay Village, Ohio 44140 USA | 800-815-9211 | www.tttsfoundation.org