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Without treatment, there is an almost 100% mortality rate of one or all fetuses. [1] Even with treatment, the condition is associated with premature birth and a risk of cerebral palsy in a surviving fetus. Around 5–15% of identical twin fetuses will go on to develop TTTS. [2]
The clinical guidelines of ACOG and RCOG both recommend premature delivery by cesarean section between 32 and 34 weeks. [10] [8] A retrospective study in 2016 argued that there is evidence vaginal delivery can be equally safe and reduce complications for some monoamniotic twins [11] but this finding has not been incorporated into clinical ...
As the birth control societies spread across Europe, so did birth control clinics. The first birth control clinic in the world was established in the Netherlands in 1882, run by the Netherlands' first female physician, Aletta Jacobs. [20] The first birth control clinic in England was established in 1921 by Marie Stopes, in London. [21]
Selective reduction of twins was very controversial at first but has gradually become more accepted. One of the authors of the 1988 guidelines updated his stance and expressed a desire for the procedure to become more available in 2014. Sex-selective reduction is widely considered to be unethical in making decisions about which fetus to keep ...
Identical twins Rebecca "Becca" Lawrence and Christina "Tina" Keefer came into the world on the same day — and so did their babies.
It works by reducing the frequency of the pill-free or placebo days. Extended cycle use of COCPs may also be called menstrual suppression, [2] although other hormonal medications or medication delivery systems (hormonal intrauterine devices—IUDs) may also be used to suppress menses. Any brand of combined oral contraceptive pills can be used ...
The smaller twin, as expected, died following the 14-hour surgery conducted in mid-2016, but the survivor, now 3 years old, is recovering, Cummings said. "She's actually doing amazingly well ...
The four girls were delivered via cesarean section at 29 weeks gestation. The smallest was Petra, who weighed in at 2 pounds, 7 ounces; Hannah, the largest, was born at 2 pounds, 13 ounces. Sandhu ...