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INTRAUTERINE FETAL DEMISE OF CO-TWIN IN MULTIFETAL PREGNANCY

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Author(s): Kunaal Shinde | Vidyadhar B Bangal | Sai K Borawake | Rashmi K Singh

Journal: International Journal of Biomedical Research
ISSN 0976-9633

Volume: 3;
Issue: 1;
Start page: 52;
Date: 2012;
Original page

Keywords: Intrauterine demise of co-twin | hypofibrinogenemia | multifetal pregnancy | Neonatal encephalomalacia

ABSTRACT
Intrauterine twin gestation with demise of one of the foetuses pose anxiety in the mind of obstetrician, patient and the relatives. It is an uncommon complication of uniovular twins having monochorionic placenta. Fetal demise in the first half of pregnancy does not have adverse effect on the mother. Surviving co-twin is at risk of development of growth restriction, cerebral encephalomalacia and microcephaly. We present a case of 32 weeks of twin gestation with intrauterine fetal demise of one baby with hypofibrinogenemia and gestational hypertension. She was successfully managed with good maternal and fetal outcome.

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