期刊
CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA
卷 51, 期 1, 页码 -出版社
ELSEVIER ESPANA
DOI: 10.1016/j.gine.2023.100913
关键词
TAPS; Twin; Fetal surgery; Anemia; Polycythemia
The aim of this study was to describe and analyze the perinatal outcomes of a series of TAPS cases at a Fetal Medicine referral center, including the type of TAPS and the prenatal behavior used. The study found that spontaneous TAPS has a similar impact on perinatal outcomes compared to post-laser TAPS.
Introduction: The aim of this paper is to describe and analyze the perinatal outcomes of a series of TAPS cases followed and treated in a Fetal Medicine referral center, in terms of the type of TAPS and the prenatal behavior applied. Methods: Descriptive and inferential statistical analysis with IBM SPSS Statistics software. Results: Thirteen cases of TAPS were diagnosed in a total of 510 monocorial gestations. Most of the spontaneous TAPS were diagnosed at early stages (5 cases), whereas, in post-laser TAPS, 3/6 cases were diagnosed at advanced stages. Four fetuses (4/26; 15.4%) presented alterations in neurosonography, 3 (3/14; 21.4%) in spontaneous TAPS and one (1/12, 8.3%) in post-laser TAPS (P=0.308). Myocardial hypertrophy was detected in 7 fetuses, 5 (71.4%) of which corresponded to advan-ced stage TAPS. Four were spontaneous TAPS (4/14; 28.6%) and 3 were post-laser TAPS (3/12; 25%) (P=0.797). Eight cases (8/13; 62.5%) required some fetal therapy procedure. There were 3 antepartum fetal deaths and one couple decided to legally terminate the pregnancy (19.23%). All 5 losses were stage IV (P=0.008). Overall survival was 80.8% (21/26 live newborns). There were no significant differences according to the type of TAPS (P= 0.159) and the prenatal behavior adopted (P=0.746). Conclusions: Spontaneous TAPS is therefore a clinical entity with an impact on perinatal out-comes similar to post-laser. It seems that expectant management and laser achieve higher gestational age at birth.(c) 2023 Elsevier Espan similar to a, S.L.U. All rights reserved.
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