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Chapter 35 - Neurological and Long-Term Neurodevelopmental Outcome after Fetal Therapy in Complicated Monochorionic Twins

from Complications of Monochorionic Multiple Pregnancy: Twin-to-Twin Transfusion Syndrome

Published online by Cambridge University Press:  21 October 2019

By
Jeanine van Klink ,
Marjolijn S. Spruijt  and
Enrico Lopriore
Edited by
Mark D. Kilby ,
Anthony Johnson  and
Dick Oepkes
Mark D. Kilby
Affiliation:
University of Birmingham
Anthony Johnson
Affiliation:
University of Texas Medical School at Houston
Dick Oepkes
Affiliation:
Leids Universitair Medisch Centrum
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Summary

An increasing number of monochorionic (MC) twin pregnancy complications are being detected prior to birth due to major improvements in prenatal ultrasound examinations [1]. For various MC twin complications, fetal therapy is a life-saving option or an alternative to postnatal treatment to prevent permanent organ damage, including damage to the developing fetal brain. The aim of this chapter is threefold: to summarize current knowledge on the neurological and neurodevelopmental outcome after fetal therapy in complicated MC twin pregnancies; to identify risk factors for adverse long-term outcome; and to provide future research and care suggestions.

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Type
Chapter
Information
Fetal Therapy
Scientific Basis and Critical Appraisal of Clinical Benefits
 , pp. 373 - 383
Publisher: Cambridge University Press
Print publication year: 2020

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