HEALTH OF WOMAN. 2015.8(104):119–122; doi 10.15574/HW.2015.104.119 

Ehografical estimation of a current of pregnancy at dihorial diamniotical twins 

Melnik O. V.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev 

Results of the spent researches testify that dynamic ehografical supervision at multipara pregnancy are informative enough in aspect of timely diagnostics of an arrest of development of one or both fetus. Features of growth of fetus at dihorial twins are identical to indicators of development of fetus at the dissymetric form of an arrest of development at onepara pregnancy. Most differences appear in 38 weeks, a cord the increase of weight of body sharply decreases and growth of a head of fetus that can be caused decompinsation placentary function at multipara is slowed down. With the account above stated it is possible to assume that pregnancy prolongation dihorial twins after 38 weeks is inexpedient. The advanced algorithm of conducting pregnancy allows to bring in due time an attention to the question about preschedule delivery women for improvement perinatal pregnancy outcomes. 

Key words: multipara pregnancy, ehografia, a fetus arrest of development. 

REFERENCES

1. Bryan ЕМ. 2010. Support for families with multiple births. Course manual, Diploma in Fetal Medicine 2:39–48.

2. Keith L, Papiernick E, Keith DM. 2011. Multiple pregnancy: epidemiology, gestation and perinatal outcome. Parthenon. 1:721–730.

3. MacGillivray I. 2009. Epidemiology of twin pregnancy. Semin Perinatol. 10:4–8.

4. Фукс МА, Маркин ЛБ. 2008. Многоплодная беременность. К, Здоров’я:243.

5. Hack KE, Derks JB, de Visser VL. 2013. The natural course of monochorionic and dichorionic twin pregnancies: a historical cohort. Twin Res. Hum. Genet. 9:450–455. http://dx.doi.org/10.1375/twin.9.3.450

6. Gul A, Gebeci A, Asian H. 2012. Perinatal outcomes of twin pregnancies discordant for major fetal anomalies. Fetal Diagn. Ther. 20:244–248. http://dx.doi.org/10.1159/000085078; PMid:15980633

7. Asztalos E, Barrett JF, Lacy M. 2011. Evaluating 2 year outcome in twins < or = 30 weeks gestation at birth: a regional perinatal unit’s experience. Twin Res. 4:431–438. http://dx.doi.org/10.1375/1369052012759; http://dx.doi.org/10.1375/twin.4.6.431

8. Adegbite AL, Castille S, Ward S. 2013. Prevalence of cranial scan abnormalities in preterm twins in relation to chorionicity and discordant birth weight. Eur. J. Obstet. Gynecol. Reprod. Biol. 1:47–55.

9. Fitzsimmons BP, Bebbington MW, Fluker MR. 2008. Perinatal and neonatal outcomes in multiple gestations: assisted reproduction versus spontaneous conception. Am. J. Obstet. Gynecol. 9:1162–1167.

10. Hack KE, Derks JB, de Visser VL. 2012. The natural course of monochorionic and dichorionic twin pregnancies: a historical cohort. Twin Res. Hum. Genet. 9:450–455. http://dx.doi.org/10.1375/twin.9.3.450

11. Ferreira I, Laureano C, Branco M. 2005. Chorionicity and adverse perinatal outcome. Acta Med. Port. 3:183–188.

12. Cordero L, Giannone PJ, Rich JT. 2013. Mean arterial pressure in very low birth weight (801 to 1500 g) concordant and discordant twins during the first day of life. J. Perinatal. 7:545–551.