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The fetal demise of one of the twins during the second trimester of a monochorionic pregnancy can result in serious complications to the surviving fetus. Complications include gangrenous limbs, hands and feet, cerebral palsy and IQ deficits, constriction rings of limbs and digits, reduced digits , skin defects, brain cysts , hydranencephaly ...
The federal guidelines recommend reporting those fetal deaths whose birth weight is over 12.5 oz (350 g), or those more than 20 weeks gestation. [63] Forty-one areas use a definition very similar to the federal definition, thirteen areas use a shortened definition of fetal death, and three areas have no formal definition of fetal death.
Fetal injection of digoxin or potassium chloride may be administered at the beginning of the procedure to allow for softening of the fetal bones or to comply with relevant laws in the physician's jurisdiction and the U.S. federal Partial-Birth Abortion Ban Act. [4] Umbilical cord transection can also be used to induce fetal demise prior to ...
Cord entanglement: The close proximity and absence of amniotic membrane separating the two umbilical cords makes it particularly easy for the twins to become entangled in each other's cords, hindering fetal movement and development. [4] Additionally, entanglement may cause one twin to become stuck in the birth canal during labor and expulsion. [1]
Methotrexate, formerly known as amethopterin, is a chemotherapy agent and immune-system suppressant. [4] It is used to treat cancer , autoimmune diseases , and ectopic pregnancies . [ 4 ] Types of cancers it is used for include breast cancer , leukemia , lung cancer , lymphoma , gestational trophoblastic disease , and osteosarcoma . [ 4 ]
The death rate with mono mono twins is 15 to 20 percent. This week, after more than two and a half months in the hospital, Sherman's twins, Arabella and Annabeth, arrived.
Before giving birth, Deal, whose a twin herself, was shocked that she was even having twins in the first place. “I found out I was having twins when I was with my mother,” Deal, who is a twin ...
Methotrexate is given either orally or intramuscularly, followed by vaginal misoprostol 3–5 days later. [22] The methotrexate combination is available through 63 days. The WHO authorizes the methotrexate-misoprostol combination [ 42 ] but recommends the mifepristone combination because methotrexate may be teratogenic to the embryo in cases of ...