Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management

Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management

In year 2016, we managed three cases of monochorionic monoamniotic (MCMA) and all were found to have cord entanglements. The diagnosis was made at 17-21 weeks of gestations. The management includes: fortnightly Doppler ultrasound of the umbilical arteries and middle cerebral arteries till 28 weeks...

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Main Authors: Ismail, Hamizah, Chin, Choy Nyok, Tan, Hooi Kheng, Engku Alwi, Sharifah Huda
Format: Conference or Workshop Item
Language:English
English
Published: 2017
Subjects:
RG Gynecology and obstetrics
Online Access:http://irep.iium.edu.my/57764/
http://irep.iium.edu.my/57764/1/56967-abstract%20book.pdf
http://irep.iium.edu.my/57764/2/PSM%20MCMA%20Poster%20final%202.pdf
id iium-57764
recordtype eprints
spelling iium-577642017-07-31T01:34:20Z http://irep.iium.edu.my/57764/ Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management Ismail, Hamizah Chin, Choy Nyok Tan, Hooi Kheng Engku Alwi, Sharifah Huda RG Gynecology and obstetrics In year 2016, we managed three cases of monochorionic monoamniotic (MCMA) and all were found to have cord entanglements. The diagnosis was made at 17-21 weeks of gestations. The management includes: fortnightly Doppler ultrasound of the umbilical arteries and middle cerebral arteries till 28 weeks. All were routinely admitted at 29 weeks of gestation for daily cardiotocograph (CTG) with weekly biophysical profile and Doppler ultrasound. A course of dexamethasone was given between 29-32 weeks. Elective caesareans after 34 weeks were planned. Results: One case had elective caesarean at 34+5 weeks and the other two had emergency caesareans at 32+5 and 30+2 weeks for abnormal CTG. The babies are healthy with normal developmental growth. Conclusion: Prenatal diagnosis of cord entanglement is not difficult that helps triage for fetal surveillance. This is to achieve a timely optimal gestational age at delivery thus reduce the neonatal morbidity and mortality. 2017-03 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/57764/1/56967-abstract%20book.pdf application/pdf en http://irep.iium.edu.my/57764/2/PSM%20MCMA%20Poster%20final%202.pdf Ismail, Hamizah and Chin, Choy Nyok and Tan, Hooi Kheng and Engku Alwi, Sharifah Huda (2017) Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management. In: 24th Regional Congress of Perinatal Society of Malaysia 2017, 23rd-26th March 2017, Penang. (Unpublished)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RG Gynecology and obstetrics
spellingShingle RG Gynecology and obstetrics
Ismail, Hamizah
Chin, Choy Nyok
Tan, Hooi Kheng
Engku Alwi, Sharifah Huda
Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
description In year 2016, we managed three cases of monochorionic monoamniotic (MCMA) and all were found to have cord entanglements. The diagnosis was made at 17-21 weeks of gestations. The management includes: fortnightly Doppler ultrasound of the umbilical arteries and middle cerebral arteries till 28 weeks. All were routinely admitted at 29 weeks of gestation for daily cardiotocograph (CTG) with weekly biophysical profile and Doppler ultrasound. A course of dexamethasone was given between 29-32 weeks. Elective caesareans after 34 weeks were planned. Results: One case had elective caesarean at 34+5 weeks and the other two had emergency caesareans at 32+5 and 30+2 weeks for abnormal CTG. The babies are healthy with normal developmental growth. Conclusion: Prenatal diagnosis of cord entanglement is not difficult that helps triage for fetal surveillance. This is to achieve a timely optimal gestational age at delivery thus reduce the neonatal morbidity and mortality.
format Conference or Workshop Item
author Ismail, Hamizah
Chin, Choy Nyok
Tan, Hooi Kheng
Engku Alwi, Sharifah Huda
author_facet Ismail, Hamizah
Chin, Choy Nyok
Tan, Hooi Kheng
Engku Alwi, Sharifah Huda
author_sort Ismail, Hamizah
title Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
title_short Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
title_full Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
title_fullStr Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
title_full_unstemmed Monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
title_sort monochorionic monoamniotic twin: prenatal diagnosis of cord entanglement and its management
publishDate 2017
url http://irep.iium.edu.my/57764/
http://irep.iium.edu.my/57764/1/56967-abstract%20book.pdf
http://irep.iium.edu.my/57764/2/PSM%20MCMA%20Poster%20final%202.pdf
first_indexed 2023-09-18T21:21:40Z
last_indexed 2023-09-18T21:21:40Z
_version_ 1777411922875908096

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