Inpatient versus outpatient management of monoamniotic twins and outcomes

Lisa M. DeFalco, Anthony C. Sciscione, Garo Megerian, Jorge Tolosa, George Macones, Anne O'Shea, Marjorie A. Pollock

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

We sought to evaluate whether early (24 to 28 weeks gestation) hospitalization of monoamniotic twins, with close fetal surveillance, and delivery at 32 to 34 weeks gestation, would significantly improve the perinatal morbidity and mortality compared with an outpatient management strategy. A multicenter, retrospective record review was undertaken. Records of all monoamniotic twins were collected for a 10-year period. Monoamniotic twins were identified using intensive care nursery, ultrasound, and pathology records. Data were collected on inpatient versus outpatient management strategies and the perinatal/maternal outcomes and complications. Twenty-three sets of monoamniotic twins were included in the study. Eleven sets were managed using an inpatient strategy and 12 sets were managed using an outpatient strategy. There were no fetal deaths in the inpatient group and there were three fetal deaths in the outpatient group. Inpatient management of monoamniotic twins should be considered.

Original languageEnglish (US)
Pages (from-to)205-211
Number of pages7
JournalAmerican journal of perinatology
Volume23
Issue number4
DOIs
StatePublished - May 1 2006

Keywords

  • Delivery
  • Monoamniotic twins
  • Outcomes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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