Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin

27/ Indonesian lady G1P0 @ 38w Twin Pregnancy- MCDA Booking @15w, date confirmed, Both FH seen. No family h/o twin. No h/o taking ovulation induction dugs(married 1year). No underlying medical problem nor family history of congenital anomaly. Antenatally otherwise uneventful. 19w at district cli...

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Main Authors:	Abdullah, Suhaiza, Abd. Aziz, Azian, Ismail, Hamizah, Awang, Mokhtar, R, Anna Liza, A, Baskaran
Format:	Conference or Workshop Item
Language:	English
Published:	2010
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/16908/ http://irep.iium.edu.my/16908/1/MCDA_with_single_fetal_demise_2010.pdf

id	iium-16908
recordtype	eprints
spelling	iium-169082013-04-27T07:58:56Z http://irep.iium.edu.my/16908/ Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin Abdullah, Suhaiza Abd. Aziz, Azian Ismail, Hamizah Awang, Mokhtar R, Anna Liza A, Baskaran RG Gynecology and obstetrics 27/ Indonesian lady G1P0 @ 38w Twin Pregnancy- MCDA Booking @15w, date confirmed, Both FH seen. No family h/o twin. No h/o taking ovulation induction dugs(married 1year). No underlying medical problem nor family history of congenital anomaly. Antenatally otherwise uneventful. 19w at district clinic: Dx twin pregnancy with 1 fetal demise. She was monitored for fetal growth. Referred to tertiary center at 30w Transabdominal ultrasound – MCDA- 1 st twin-Breech,microcephaly (BPD= 26w), Bilateral CTEV otherwise other structures normal, 2 nd twin- compressed to side wall of uterus. USG show cystic brain changes of survivor.(Figure 1) Amniocentesis - normal chromosomal study Fetal MRI (Figure 2) – Lissencephaly with dilated ventricles and minimal brain tissue seen. This would be compatible with life but very severe mental retardation. Aimed for vaginal delivery in view of poor prognosis of the baby of the living twin. Presented with prelabour rupture of membranes at 38 weeks. Clinically uterus term size, breech, EFW = 2.8-3.0kg. She was induced with PGE2. Delivered via assisted vaginal breech delivery. 1 st twin boy: 2.71kg, AS 8@1, 9@5, COH 28cm; 2 nd twin 300gm- macerated. Placenta examination: Monochorionic Diamniotic. Post natal MRI (Figure 3) confirms the lissencephaly and ventriculomegaly 2010-06 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/16908/1/MCDA_with_single_fetal_demise_2010.pdf Abdullah, Suhaiza and Abd. Aziz, Azian and Ismail, Hamizah and Awang, Mokhtar and R, Anna Liza and A, Baskaran (2010) Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin. In: 20th Congress of OGSM, 3-6th June 2010, Shangri - La Hotel Kuala Lumpur.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Abdullah, Suhaiza Abd. Aziz, Azian Ismail, Hamizah Awang, Mokhtar R, Anna Liza A, Baskaran Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
description	27/ Indonesian lady G1P0 @ 38w Twin Pregnancy- MCDA Booking @15w, date confirmed, Both FH seen. No family h/o twin. No h/o taking ovulation induction dugs(married 1year). No underlying medical problem nor family history of congenital anomaly. Antenatally otherwise uneventful. 19w at district clinic: Dx twin pregnancy with 1 fetal demise. She was monitored for fetal growth. Referred to tertiary center at 30w Transabdominal ultrasound – MCDA- 1 st twin-Breech,microcephaly (BPD= 26w), Bilateral CTEV otherwise other structures normal, 2 nd twin- compressed to side wall of uterus. USG show cystic brain changes of survivor.(Figure 1) Amniocentesis - normal chromosomal study Fetal MRI (Figure 2) – Lissencephaly with dilated ventricles and minimal brain tissue seen. This would be compatible with life but very severe mental retardation. Aimed for vaginal delivery in view of poor prognosis of the baby of the living twin. Presented with prelabour rupture of membranes at 38 weeks. Clinically uterus term size, breech, EFW = 2.8-3.0kg. She was induced with PGE2. Delivered via assisted vaginal breech delivery. 1 st twin boy: 2.71kg, AS 8@1, 9@5, COH 28cm; 2 nd twin 300gm- macerated. Placenta examination: Monochorionic Diamniotic. Post natal MRI (Figure 3) confirms the lissencephaly and ventriculomegaly
format	Conference or Workshop Item
author	Abdullah, Suhaiza Abd. Aziz, Azian Ismail, Hamizah Awang, Mokhtar R, Anna Liza A, Baskaran
author_facet	Abdullah, Suhaiza Abd. Aziz, Azian Ismail, Hamizah Awang, Mokhtar R, Anna Liza A, Baskaran
author_sort	Abdullah, Suhaiza
title	Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
title_short	Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
title_full	Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
title_fullStr	Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
title_full_unstemmed	Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
title_sort	monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin
publishDate	2010
url	http://irep.iium.edu.my/16908/ http://irep.iium.edu.my/16908/1/MCDA_with_single_fetal_demise_2010.pdf
first_indexed	2018-09-07T04:02:23Z
last_indexed	2018-09-07T04:02:23Z
_version_	1610919909975392256

Monochorionic twins with co-win death - detectable yet unpreventable risk to the living twin

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