Preis Krzysztof, Ciach Katarzyna, Kowalewska-Włas Agnieszka, Wójcik Dariusz, Swiatkowska-Freundi Małgorzata, Klasa-Mazurkiewicz Dagmara
Klinika Połoznictwa AM w Gdańsku.
Ginekol Pol. 2005 Aug;76(8):648-51.
The incidence of multiple pregnancies is associated with the increased risk in maternal and fetal complications. Intrauterine death of one twin in the second trimester is a rare obstetric complication. Authors report a case of a twin pregnancy with triploidy of one fetus and no chromosomal anomaly of the other twin in a dichorionic diamniotic twin pregnancy. Amniocentesis at 16th weeks disclosed triploidy of this fetus who died afterwards at 20th week of gestation. The pregnancy was continued with special care of the mother and the alive fetus. The second twin was successfully delivered by cesarean section in the 41st week of pregnancy due to the intrauterine fetal distress.
多胎妊娠的发生率与孕产妇和胎儿并发症风险增加相关。孕中期单胎宫内死亡是一种罕见的产科并发症。作者报告了一例双绒毛膜双羊膜囊双胎妊娠病例，其中一个胎儿为三倍体，另一个双胞胎无染色体异常。孕16周时羊水穿刺发现该胎儿为三倍体，该胎儿随后于妊娠20周时死亡。对母亲和存活胎儿进行特殊护理，继续妊娠。由于宫内胎儿窘迫，第二个胎儿在妊娠41周时通过剖宫产成功分娩。
