The ultrasound estimation of amniotic fluid volume in diamniotic twin pregnancies and prediction of peripartum outcomes. 2007

Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, VA, USA.

OBJECTIVE To determine ultrasonic estimations of amniotic fluid in diamniotic twins across gestation using the single deepest pocket (SDP) technique and correlate volumes to intrapartum and neonatal outcomes. METHODS Prospective observational study using diamniotic dichorionic and diamniotic monochorionic pregnancies. Intrapartum and neonatal outcomes were evaluated. RESULTS Between April 2004 and April 2006, 299 women were recruited. There was no significant relationship between SDP and gestational age. Statistically significant differences by SDP groups (for low, normal, and high volumes) include preterm delivery (P = .043; 56, 62, and 86%), abnormal labor tracing (P = .013; 5, 8, and 27%), fetal labor intolerance (P = .026; 6, 9, and 27%), Apgar scores at 5 minutes (P = .028; 17, 10, and 27%) and any neonatal complications (P = .002; 28, 21, and 55%). CONCLUSIONS The SDP is constant between 17 and 37 weeks. Fetal labor intolerance and adverse neonatal outcomes are greater in a twin with hydramnios.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011256 Pregnancy Outcome Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; or SPONTANEOUS ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO. Outcome, Pregnancy,Outcomes, Pregnancy,Pregnancy Outcomes
D011272 Pregnancy, Multiple The condition of carrying two or more FETUSES simultaneously. Multiple Pregnancy,Multiple Pregnancies,Pregnancies, Multiple
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D012127 Respiratory Distress Syndrome, Newborn A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause. Infantile Respiratory Distress Syndrome,Neonatal Respiratory Distress Syndrome,Respiratory Distress Syndrome, Infant
D005260 Female Females
D005323 Fetal Monitoring Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery. Monitoring, Fetal,Fetal Monitorings,Monitorings, Fetal
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D006340 Heart Rate, Fetal The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute. Fetal Heart Rate,Fetal Heart Rates,Heart Rates, Fetal,Rate, Fetal Heart,Rates, Fetal Heart

Related Publications

Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
June 1995, Obstetrics and gynecology,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
March 1996, American journal of obstetrics and gynecology,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
October 1998, Southern medical journal,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
January 2011, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
June 2000, American journal of obstetrics and gynecology,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
December 1999, Obstetrics and gynecology clinics of North America,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
March 2009, Prenatal diagnosis,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
January 2014, Fetal diagnosis and therapy,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
November 1997, American journal of obstetrics and gynecology,
Everett F Magann, and Dorota A Doherty, and Christopher S Ennen, and Suneet P Chauhan, and Donna Shields, and Shane M Gjesdal, and John C Morrison
June 2013, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology,
Copied contents to your clipboard!