Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation

Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation Publisher Pubmed

Rahimisharbaf F¹ ; Shirazi M^{1, 2} ; Golshahi F^{1, 2} ; Salari Z¹ ; Haghiri M³ ; Ghaemi M⁴ ; Feizmahdavi H^{1, 5}

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1. Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
3. Department of Perinatology Maternal, Fetal and Neonatal Research Center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
4. Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
5. Department of Obstetrics and Gynecology, Kermanshah University of Medical Sciences, Kermanshah, Iran

Source: Iranian Journal of Medical Sciences Published:2022

Abstract

Background: This study aimed to investigate and compare the prenatal and neonatal outcomes of monochorionic twin pregnancies complicated with fetal growth restriction (sFGR) with or without twin-to-twin transfusion syndrome (TTTS) after cord occlusion by radiofrequency ablation (RFA). Methods: This prospective cross-sectional study was conducted in women with monochorionic twin pregnancies of 16 to 26 weeks of gestational age (GA) in an academic hospital from 2016 to 2020. Demographic and obstetrical characteristics such as cervical length, GA of RFA and delivery, amnioreduction, cesarean section (C/S) rate, and maximum vertical pocket as well as prenatal, neonatal, and maternal outcomes were evaluated and compared between groups using Statistical Package for the Social Sciences (SPSS). Mann-Whitney U test or independent t test was used for quantitative data and Chi square test was applied for comparing qualitative variables. The significance level of tests was 0.05. Results: Totally 213 (106 sFGR and 107 TTTS+sFGR) cases were enrolled. The mean of maternal age (P=0.787), body mass index (P=0.932), gestational age at RFA (P=0.265), as well as gestational age of delivery (P=0.482), and C/S rate (P=0.124) were not significant between the two groups, but a significant difference (P<0.001) in cervical length was observed between the two groups. No significant differences were found in newborn and fetal outcomes such as fetal demise (P=0.827), PPROM (P=0.233), abortion (P=0.088), and admission to intensive care unit (P=0.822) between the groups. Conclusion: Although worse fetal and neonatal outcomes were expected in the TTTS+sFGR group after RFA, no significant difference was observed between groups. © Iranian Journal of Medical Sciences.

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Mahboobeh Shirazi (8)

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Style	Citing Format
MLA	Rahimisharbaf F, et al.. "Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation." Iranian Journal of Medical Sciences, vol. 47, no. 5, 2022, pp. 433-439.
APA	Rahimisharbaf F, Shirazi M, Golshahi F, Salari Z, Haghiri M, Ghaemi M, Feizmahdavi H (2022). Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation. Iranian Journal of Medical Sciences, 47(5), 433-439.
Chicago	Rahimisharbaf F, Shirazi M, Golshahi F, Salari Z, Haghiri M, Ghaemi M, Feizmahdavi H. "Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation." Iranian Journal of Medical Sciences 47, no. 5 (2022): 433-439.
Harvard	Rahimisharbaf F et al. (2022) 'Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation', Iranian Journal of Medical Sciences, 47(5), pp. 433-439.
Vancouver	Rahimisharbaf F, Shirazi M, Golshahi F, Salari Z, Haghiri M, Ghaemi M, et al.. Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation. Iranian Journal of Medical Sciences. 2022;47(5):433-439.
BibTex	@article{ author = {Rahimisharbaf F and Shirazi M and Golshahi F and Salari Z and Haghiri M and Ghaemi M and Feizmahdavi H}, title = {Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation}, journal = {Iranian Journal of Medical Sciences}, volume = {47}, number = {5}, pages = {433-439}, year = {2022} }
RIS	TY - JOUR AU - Rahimisharbaf F AU - Shirazi M AU - Golshahi F AU - Salari Z AU - Haghiri M AU - Ghaemi M AU - Feizmahdavi H TI - Comparison of Prenatal and Neonatal Outcomes of Selective Fetal Growth Restriction in Monochorionic Twin Pregnancies With or Without Twin-To-Twin Transfusion Syndrome After Radiofrequency Ablation JO - Iranian Journal of Medical Sciences VL - 47 IS - 5 SP - 433 EP - 439 PY - 2022 ER -

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