caa a22 4500 445306696 CHVBK 20180317142615.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00404-010-1549-3 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1549-3 Investigation of the factors affecting the perinatal outcome of monochorionic diamniotic twins [Elektronische Daten] [Masahiro Murakami, Takeshi Iwasa, Machiko Kiyokawa, Yohei Takahashi, Mikio Morine] Purpose: To investigate the factors affecting the perinatal outcome in monochorionic diamniotic (MD) twins. Methods: We conducted a retrospective study of MD twins treated in our hospital between April 1, 2006 and February 28, 2010. The neonatal outcomes of MD twins conceived by assisted reproductive technology or ovulation induction were compared to the outcomes of those conceived naturally. Results: In MD twins with twin-to-twin transfusion syndrome (TTTS), fetoscopic laser photocoagulation (FLP) resulted in the survival of at least one twin. In naturally conceived MD twins with two live births, we found that there was a higher discordance rate and the incidence of intrauterine growth retardation was higher in twins born to nulliparous women than multiparous women. Conclusions: Further FLP treatment can be performed on twins with TTTS so that prognosis may be improved. Since the risk of discordant growth is significantly greater in twins of nulliparous women, they should be monitored more carefully than multiparous women. Springer-Verlag, 2010 Twin pregnancy nationallicence Assisted reproductive technology nationallicence Perinatal outcome nationallicence Chorionicity nationallicence Discordance nationallicence Murakami Masahiro Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut Iwasa Takeshi Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut Kiyokawa Machiko Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut Takahashi Yohei Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut Morine Mikio Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1239-1243 0932-0067 283:6<1239 2011 283 404 https://doi.org/10.1007/s00404-010-1549-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1549-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Murakami Masahiro Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut NATIONALLICENCE 700 1- Iwasa Takeshi Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut NATIONALLICENCE 700 1- Kiyokawa Machiko Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut NATIONALLICENCE 700 1- Takahashi Yohei Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut NATIONALLICENCE 700 1- Morine Mikio Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji 2603, 765-8501, Zentsuji, Kagawa, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1239-1243 0932-0067 283:6<1239 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer