Living with the Dead

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Dr. Binita Shah
Dr. Binita Shah
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Dr. Ashok Anand
Dr. Ashok Anand
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Dr. Saman Syed
Dr. Saman Syed

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Living with the Dead

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Abstract

Intrauterine twin gestation with death of one foetusleads to anxiety in the mind of patient, relatives and even obstetrician.Fetal demise of a twin in the first trimester (vanishing twin) is not very rare and does not impair the development of the surviving twin. However Fetal death in late second and third trimester increase the risk of complications for the surviving co twin such as IUGR, preterm labor, neurodevelopmental impairment and maternal complications such as maternal coagulopathy, preeclampsia, sepsis and perinatal mortality. The causes of fetal death vary and include twin to twin transfusion, placental insufficiency, IUGR, preeclampsia, velamentous insertion of cord, cord around neck, congenital anomaly, etc. The objective of this study is to ascertain the prognosis of the surviving co twin to aid counseling of patients and foreground future research.

References

8 Cites in Article
  1. Williams Unknown Title.
  2. T Keremy,U Chitkara (1981). Selective birth in twin pregnancy with discordancy for Down's Syndrome.
  3. Helain Landy,Stuart Weiner,Stephen Corson,Frances Batzer,Ronald Bolognese (1986). The “vanishing twin”: Ultrasonographic assessment of fetal disappearance in the first trimester.
  4. L Fusi,H Gordon (1990). Twin pregnancy complicated by single intrauterine death. Problems and outcome with conservative management.
  5. I Van Den,E Veyver,J Schatteman,J Vanderheyden,P Van Wiemeersch (1990). Meulyzer Antenatal fetal death in twin pregnancies: a dangerous condition mainly for the surviving cotwin; a report of four cases.
  6. W Karl (1995). Intrauterine death in a twin: Implications for the survivor.
  7. J Pritchard,O Ratnoff (1955). Studies of fibrinogen and other haemostatic factors in women with intrauterine death and delayed delivery.
  8. Kurt Benirschke (1993). The contribution of placental anastomoses to prenatal twin damage.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Dr. Binita Shah. 2020. \u201cLiving with the Dead\u201d. Global Journal of Medical Research - E: Gynecology & Obstetrics GJMR-E Volume 20 (GJMR Volume 20 Issue E7): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
Classification
GJMR-E Classification: NLMC Code: WQ 225
Version of record

v1.2

Issue date

October 27, 2020

Language
en
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Published Article

Intrauterine twin gestation with death of one foetusleads to anxiety in the mind of patient, relatives and even obstetrician.Fetal demise of a twin in the first trimester (vanishing twin) is not very rare and does not impair the development of the surviving twin. However Fetal death in late second and third trimester increase the risk of complications for the surviving co twin such as IUGR, preterm labor, neurodevelopmental impairment and maternal complications such as maternal coagulopathy, preeclampsia, sepsis and perinatal mortality. The causes of fetal death vary and include twin to twin transfusion, placental insufficiency, IUGR, preeclampsia, velamentous insertion of cord, cord around neck, congenital anomaly, etc. The objective of this study is to ascertain the prognosis of the surviving co twin to aid counseling of patients and foreground future research.

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Living with the Dead

Dr. Binita Shah
Dr. Binita Shah
Dr. Ashok Anand
Dr. Ashok Anand
Dr. Saman Syed
Dr. Saman Syed

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