臨床婦人科産科67巻12号

2013年12月発行

今月の臨床 多胎妊娠管理の最新スタンダード─ガイドラインを踏まえて

双胎の合併症

3．双胎一児死亡の管理

著者： 永松健¹ 藤井知行¹

所属機関： ¹東京大学産婦人科学教室

ページ範囲：P.1259 - P.1263

文献概要

●双胎一児死亡の予後は膜性により大きく異なり，MC双胎の一児死亡の直後に，他児の循環障害が生じて重篤な影響を生じることがあることを理解しておく．

●DC双胎では待機的管理が原則であり早産を回避することが望ましい．

●MC双胎の臨床的管理については未解決の問題点が多いが，現時点では少なくとも児の未熟性が懸念される週数においては待機的管理が支持される．

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