Maternal Perception of Decreased Fetal Movement in One Twin : A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome
Joint Authors
Kuwata, Tomoyuki
Suzuki, Hirotada
Ohkuchi, Akihide
Matsubara, Shigeki
Suzuki, Mitsuaki
Yada, Yukari
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-25
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Decreased fetal movement (DFM) perceived by pregnant women sometimes indicates imminent fetal jeopardy.
It is unknown whether this also holds true for twin pregnancy.
A 27-year-old primiparous woman with monochorionic diamniotic (MD) pregnancy had a slight difference of amniotic fluid volume at 312/7 weeks of gestation.
DFM only in one twin at 314/7 weeks of gestation prompted her to receive urgent consultation.
Since cardiotocogram indicated absent variability of one twin, we performed Cesarean section.
Male infants weighing 2060 g and 1578 g were delivered; hemoglobin was 20.7 versus 10.8 g/dL, respectively; cardiothoracic ratio was 70% versus 44%, respectively, indicating acute twin-to-twin transfusion syndrome (TTTS).
The recipient infant had heart failure, which was still observed at 1 month postpartum.
In conclusion, maternal perception of DFM indicated imminent fetal death or jeopardy caused by acute TTTS, suggesting that education regarding DFM for women with twin pregnancy may be clinically important.
American Psychological Association (APA)
Suzuki, Hirotada& Kuwata, Tomoyuki& Ohkuchi, Akihide& Yada, Yukari& Matsubara, Shigeki& Suzuki, Mitsuaki. 2013. Maternal Perception of Decreased Fetal Movement in One Twin : A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-464503
Modern Language Association (MLA)
Suzuki, Hirotada…[et al.]. Maternal Perception of Decreased Fetal Movement in One Twin : A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-464503
American Medical Association (AMA)
Suzuki, Hirotada& Kuwata, Tomoyuki& Ohkuchi, Akihide& Yada, Yukari& Matsubara, Shigeki& Suzuki, Mitsuaki. Maternal Perception of Decreased Fetal Movement in One Twin : A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-464503
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464503