Prise en charge des grossesses gémellaires monoamniotiques : étude multicentrique rétrospective observationelle à propos de 221 cas

Prise en charge des grossesses gémellaires monoamniotiques : étude multicentrique rétrospective observationelle à propos de 221 cas

Retrospective multicenter study reviewing obstetric and perinatal outcomes for 221 monoamniotic twin pregnancies. The objective was to evaluate prenatal monitoring strategies and analyze the optimal timing and mode of delivery for monoamniotic twin pregnancies. Overall perinatal mortality was 18.4%....

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Bibliographic Details
Main Author : Cariou de Vergie Louise (Auteur)
Corporate Authors : Université de Nantes 1962-2021 (Organisme de soutenance), Nantes Université Pôle Santé UFR Médecine et Techniques Médicales Nantes (Organisme de soutenance)
Other Authors : Winer Norbert (Directeur de thèse)
Format : Thesis
Language : français
anglais
Title statement : Prise en charge des grossesses gémellaires monoamniotiques : étude multicentrique rétrospective observationelle à propos de 221 cas / Louise Cariou de Vergie; sous la direction de Norbert Winer
Published : 2018
Physical Description : 1 vol. (91 f.)
Note de thèse : Thèse d'exercice : Médecine. Gynécologie-Obstétrique : Nantes : 2018
Content : La thèse contient 1 article f. 70
Subjects :
Grossesse multiple > Thèses et écrits académiques
Mortalité foetale > Thèses et écrits académiques
Accouchement > Complications > Thèses et écrits académiques
Jumeaux > Dissertations universitaires
Complications du travail et de l'accouchement > Dissertations universitaires
Related Items : Has reproduction: Prise en charge des grossesses gémellaires monoamniotiques
Description
Summary : Retrospective multicenter study reviewing obstetric and perinatal outcomes for 221 monoamniotic twin pregnancies. The objective was to evaluate prenatal monitoring strategies and analyze the optimal timing and mode of delivery for monoamniotic twin pregnancies. Overall perinatal mortality was 18.4%. Mean gestational age at birth did not differ significantly between fetuses managed as inpatients and outpatients, nor did the incidence of intrauterine death and perinatal outcomes. After 34 weeks, one third of the women gave birth vaginally. Most outcomes did not differ significantly between vaginal and cesarean deliveries, although the rate of Apgar scores <7 and admission to neonatal intensive care (49.2% vs. 73.3%, P <.0002) were higher in the cesarean group. Outpatient management and continuation of monoamniotic pregnancies beyond 34 weeks are both reasonable options with close surveillance. Although if cesareans seem to be recommended most frequently, vaginal delivery is not strictly contraindicated.
Variantes de titre : Management of monoamniotic twin pregnancies : retrospective multicenter study of 221 cases
Bibliography : Bibliogr. f. 63-66, 51 réf. ; f. 89-91, 24 réf.