期刊
SEMINARS IN FETAL & NEONATAL MEDICINE
卷 23, 期 1, 页码 7-12出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.siny.2017.10.007
关键词
Twins; Pregnancy; Ethics; Prematurity
类别
Twin gestations are increasing in prevalence worldwide, and are potentially subject to medical complications which present uniquely complex ethical and psychosocial challenges for the pregnant patient and obstetrician to navigate. In this article, we explore these issues as they relate to medical decision making in cases of discordant growth and discordant anomalies in both monochorionic and dichorionic twin pregnancies, including those affected by twin twin transfusion syndrome, with particular attention to scenarios in which the individual fetuses hold competing interests. For each of these scenarios, we consider how decisions may positively or negatively impact one or both fetuses, and how familiarity with population outcomes, as well as sensitivity to the complex psychosocial circumstances surrounding these pregnancies, can support and inform shared decision-making. (C) 2017 Elsevier Ltd. All rights reserved.
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