When to Deliver Dichorionic Diamniotic Twins in the Setting ... | monochorionic diamniotic twins mode of delivery

ACOG.orgACOGClinicalGreenJournalForPatientsStoreACOG.orgACOGClinicalGreenJournalForParentsStoreMay2018-Volume131-IssuePreviousAbstractNextAbstractFullTextAccessforSubscribers:IndividualSubscribersLoginforaccessACOGMembers,pleaseclick“Loginhere”toaccesscontentLoginhere>InstitutionalMembersAccessonOvid®NotaSubscriber?BuySubscribeRequestPermissionsBecomeaSocietyMemberYoucanreadthefulltextofthisarticleifyou:SelectanoptionLogInBuyArticleSubscribeSocietyMembershipContent&PermissionsOvidMemberInstitutionalAccessLogInOvidMemberInstitutionalAccessExportAllImagestoPowerPointFileAddtoMyFavoritesColleague'sE-mailisInvalidYourName:(optional)YourEmail:Colleague'sEmail:Separatemultiplee-mailswitha(;).Message:Thoughtyoumightappreciatethisitem(s)IsawatObstetrics&Gynecology.SendacopytoyouremailYourmessagehasbeensuccessfullysenttoyourcolleague.Someerrorhasoccurredwhileprocessingyourrequest.Pleasetryaftersometime.EndNoteProciteReferenceManagerSavemyselectionSunday,April29,2018Walker,AllisonR.BS;Caughey,AaronB.MD,PhDAuthorInformationOregonHealth&ScienceUniversity,Portland,ORFinancialDisclosure:AaronCaugheydisclosedthefollowing—Celmatix:Consultant/AdvisoryBoard,OwnershipInterest;Mindchild:Consultant/AdvisoryBoard,OwnershipInterest.Theotherauthordidnotreportanypotentialconflictsofinterest.Obstetrics&Gynecology:May2018-Volume131-Issue-p176Sdoi:10.1097/01.AOG.0000533186.00682.7aBuyMetricsAbstractINTRODUCTION: Dichorionicdiamniotic(DCDA)twinpregnanciesareatincreasedriskofpreeclampsia(PET),intrauterinegrowthrestriction(IUGR)andintrauterinefetaldemise(IUFD).Ourstudycomparedoutcomesofinductionoflabor(IOL)at34through37weekstodeterminethemostfavorablegestationalagefordeliveryinDCDAtwinpregnanciescomplicatedbymildPET.METHODS: AdecisionanalyticmodelwascreatedusingTreeAgePro2017softwaretocomparetheoutcomesofexpectantmanagementversusIOLat34to37weeksofgestationalage.Outcomesexaminedincludedqualityadjustedlifeyears(QALYs),casesofadvancementfrommildtoseverePET,maternalmortality,maternalstroke,IUGR,IUFD,


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