Placenta
Volume 29, Issue 11 , Pages 976-981 , November 2008

Placental Characteristics of Monochorionic Diamniotic Twin Pregnancies in Relation to Perinatal Outcome

  • K.E.A. Hack

      Affiliations

    • Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, 3584 EA Utrecht, The Netherlands
    • Corresponding Author InformationCorresponding author. Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, K.E.04.123.1, P.O. Box 85090, 3508 AB Utrecht, The Netherlands. Tel.: +31 30 250 6426; fax: +31 30 250 5320.
  • ,
  • P.G.J. Nikkels

      Affiliations

    • Department of Pathology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
  • ,
  • C. Koopman-Esseboom

      Affiliations

    • Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, 3584 EA Utrecht, The Netherlands
  • ,
  • J.B. Derks

      Affiliations

    • Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, 3584 EA Utrecht, The Netherlands
  • ,
  • S.G. Elias

      Affiliations

    • Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
  • ,
  • M.J.C. van Gemert

      Affiliations

    • Laser Center, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
  • ,
  • G.H.A. Visser

      Affiliations

    • Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, 3584 EA Utrecht, The Netherlands

,Accepted 25 August 2008.

References 

  1. Hack KE, Derks JB, Elias SG, Franx A, Roos EJ, Voerman SK, et al. Increased perinatal mortality and morbidity in monochorionic versus dichorionic twin pregnancies: clinical implications of a large Dutch cohort study. Bjog. 2008;115:58–67
  2. Denbow ML, Cox P, Taylor M, Hammal DM, Fisk NM. Placental angioarchitecture in monochorionic twin pregnancies: relationship to fetal growth, fetofetal transfusion syndrome, and pregnancy outcome. Am J Obstet Gynecol. 2000;182:417–426
  3. Denbow ML, Cox P, Talbert D, Fisk NM. Colour Doppler energy insonation of placental vasculature in monochorionic twins: absent arterio-arterial anastomoses in association with twin-to-twin transfusion syndrome. Br J Obstet Gynaecol. 1998;105:760–765
  4. De Paepe ME, DeKoninck P, Friedman RM. Vascular distribution patterns in monochorionic twin placentas. Placenta. 2005;26:471–475
  5. Machin G, Still K, Lalani T. Correlations of placental vascular anatomy and clinical outcomes in 69 monochorionic twin pregnancies. Am J Med Genet. 1996;61:229–236
  6. Gratacos E, Carreras E, Becker J, Lewi L, Enriquez G, Perapoch J, et al. Prevalence of neurological damage in monochorionic twins with selective intrauterine growth restriction and intermittent absent or reversed end-diastolic umbilical artery flow. Ultrasound Obstet Gynecol. 2004;24:159–163
  7. Gratacos E, Lewi L, Carreras E, Becker J, Higueras T, Deprest J, et al. Incidence and characteristics of umbilical artery intermittent absent and/or reversed end-diastolic flow in complicated and uncomplicated monochorionic twin pregnancies. Ultrasound Obstet Gynecol. 2004;23:456–460
  8. Dube J, Dodds L, Armson BA. Does chorionicity or zygosity predict adverse perinatal outcomes in twins?. Am J Obstet Gynecol. 2002;186:579–583
  9. Machin GA. Velamentous cord insertion in monochorionic twin gestation. An added risk factor. J Reprod Med. 1997;42:785–789
  10. Hanley ML, Ananth CV, Shen-Schwarz S, Smulian JC, Lai YL, Vintzileos AM. Placental cord insertion and birth weight discordancy in twin gestations. Obstet Gynecol. 2002;99:477–482
  11. Victoria A, Mora G, Arias F. Perinatal outcome, placental pathology, and severity of discordance in monochorionic and dichorionic twins. Obstet Gynecol. 2001;97:310–315
  12. Fries MH, Goldstein RB, Kilpatrick SJ, Golbus MS, Callen PW, Filly RA. The role of velamentous cord insertion in the etiology of twin–twin transfusion syndrome. Obstet Gynecol. 1993;81:569–574
  13. Huber A, Hecher K. How can we diagnose and manage twin–twin transfusion syndrome?. Best Pract Res Clin Obstet Gynaecol. 2004;18:543–556
  14. Fick AL, Feldstein VA, Norton ME, Wassel Fyr C, Caughey AB, Machin GA. Unequal placental sharing and birth weight discordance in monochorionic diamniotic twins. Am J Obstet Gynecol. 2006;195:178–183
  15. van Gemert MJ, Sterenborg HJ. Haemodynamic model of twin–twin transfusion syndrome in monochorionic twin pregnancies. Placenta. 1998;19:195–208
  16. Umur A, van Gemert MJ, Nikkels PG, Ross MG. Monochorionic twins and twin–twin transfusion syndrome: the protective role of arterio-arterial anastomoses. Placenta. 2002;23:201–209
  17. van Gemert MJ, Major AL, Scherjon SA. Placental anatomy, fetal demise and therapeutic intervention in monochorionic twins and the transfusion syndrome: new hypotheses. Eur J Obstet Gynecol Reprod Biol. 1998;78:53–62
  18. Sato Y, Benirschke K. Increased prevalence of fetal thrombi in monochorionic-twin placentas. Pediatrics. 2006;117:e113–e117
  19. Lopriore E, Sueters M, Middeldorp JM, Oepkes D, Walther FJ, Vandenbussche FP. Velamentous cord insertion and unequal placental territories in monochorionic twins with and without twin-to-twin-transfusion syndrome. Am J Obstet Gynecol. 2007;196(159):e1–e5
  20. Lewi L, Cannie M, Blickstein I, Jani J, Huber A, Hecher K, et al. Placental sharing, birthweight discordance, and vascular anastomoses in monochorionic diamniotic twin placentas. Am J Obstet Gynecol. 2007;197(587):e1–e8
  21. Nikkels PG, van Gemert MJ, Briet JW. Late onset of discordant growth in a monochorionic twin pregnancy: vascular anastomoses determine fetal growth pattern and not placental sharing. Fetal Diagn Ther. 2001;16:23–25
  22. Pretorius DH, Chau C, Poeltler DM, Mendoza A, Catanzarite VA, Hollenbach KA. Placental cord insertion visualization with prenatal ultrasonography. J Ultrasound Med. 1996;15:585–593

PII: S0143-4004(08)00291-9

doi: 10.1016/j.placenta.2008.08.019

Placenta
Volume 29, Issue 11 , Pages 976-981 , November 2008