Discordant Twin Pregnancy with One Malformed  Fetus � Color Doppler Follow Up for Expectant  Management

Ishan Kumar; Shivi Jain; Ashish Verma; Madhu Jain; Ram C Shukla; Arvind Srivastava

Volume : III, Issue : IX, September - 2013

Discordant Twin Pregnancy with One Malformed Fetus � Color Doppler Follow Up for Expectant Management

Ishan Kumar, Shivi Jain, Ashish Verma, Madhu Jain, Ram C Shukla, Arvind Srivastava

Abstract :

Monochorionic twin discordant with congenital anomalies introduce additional burdens to obstetricians in their endeavor to save the normal co–twin. The wide array of treatment options that have been described all incur significant morbidity and none of them are unequivocally optimal. Whether to emace the antepartum use of aggressive intervention techniques or take the conservative anticipative approach remains a topic of debate and clinical dilemma. In our view, a serial evaluation of the color Doppler parameters in such patients might help us to triage the appropriate candidates for expectant management and lead to reduced rate of overtreated patients. In this study, we describe our experience with monochorionic twinning discordant with fetal acardia and anencephaly managed conservatively through color Doppler surveillance