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KMID : 0616619990050010073
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Journal of Soonchunhyang Medical College
1999 Volume.5 No. 1 p.73 ~ p.77
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A Clinical Study of Single Fetal Demise in Twin pregnancy
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Abstract
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Objective : Our purpose of this study was to evaluated the incidence of twin pregnancy with one fetal demise, predisposing factors and the maternal complications and perinatal outcomes.
Patients : From January 1993 to December 1997, 5 twin pregnancy with single fetal demise after 28 weeks gestation by gestational age were observed in Soonchunhyang Kumi Hospital.
Results :
1. The incidence of one fetal demise was 3.01% in twin pregnancy.
2. Maternal disseminated intravascular coagulation has not been demonstrated.
3. The predisposing factors of twin pregnancy with single fetal demise are umbilical cord torsion (40%), congenital anomaly(20%) and unknown(40%).
4. According to chorionicity, it seems that the perinatal mortality rate of monochorionic group was higher than dichorionic.
Conclusion : This study suggests that monochorionic placentation is associated with increased risks of twin pregnancy with single fetal demise. But it may be partially explained due to small numbers of cases in this study.
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