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Difficulties and dilemmas in the management of congenital anomalies in twin pregnancy.

作者信息

Edozien L C, Mayers F N, Gowland M R

机构信息

Department of Obstetrics, Wythenshawe Hospital, Manchester, UK.

出版信息

Int J Clin Pract. 1997 Jul-Aug;51(5):305-7.

PMID:9489090
Abstract

Both the incidence of twin pregnancy and the demand for prenatal diagnosis are increasing. Unfortunately, biochemical screening and ultrasound scanning are less reliable for prenatal diagnosis in twin pregnancies than in singletons. Amniocentesis and chorionic villous biopsy are usually diagnostic in singleton pregnancies but may be marred by sampling errors in twin gestations. Where a congenital anomaly has been diagnosed in a twin pregnancy, difficult decisions may have to be made, especially if one twin is unaffected. In these cases, special skills are required to ensure that adequate information, psychological support and optimal medical care are provided.

摘要

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