Est.childrenArticleObstetric Outcomes inside the Surviving Fetus just after Intrauterine Fetal Death in Bichorionic Twin GestationsMar

Est.
childrenArticleObstetric Outcomes inside the Surviving Fetus just after Intrauterine Fetal Death in Bichorionic Twin GestationsMar de la Calle 1 , Jose L. Bartha 1 , Henar Serrano two and David Ramiro-Cortijo three, Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain; [email protected] (M.d.l.C.); [email protected] (J.L.B.) Anesthesiology and Resuscitation Service, Hospital General Universitario de Toledo, Avenida del R Guadiana, 45007 Toledo, Spain; [email protected] Department of Physiology, Faculty of Medicine, Universidad Aut oma de Madrid, C/Arzobispo Morcillo two, 28049 Madrid, Spain Correspondence: [email protected]: de la Calle, M.; Bartha, J.L.; Serrano, H.; Ramiro-Cortijo, D. Obstetric Outcomes in the Surviving Fetus following Intrauterine Fetal Death in Bichorionic Twin Gestations. Youngsters 2021, 8, 927. https://doi.org/ 10.3390/children8100927 Academic Editor: Dora Isabel Fialho Pereira Received: 19 September 2021 Accepted: 15 October 2021 Published: 16 OctoberAbstract: Twin pregnancies are high-risk gestations that boost the odds of obstetrical complications. They will also present precise and rare complications for example single intrauterine fetal death (IUFD). This complication has been extensively studied in monochorionic but not in bichorionic gestations. Currently, the repercussions of IUFD could have around the surviving fetus, mother and bichorionic pregnancy usually are not identified. Our objective was to study materno-obstetrical, fetal, and NADPH tetrasodium salt custom synthesis immediate delivery neonatal complications in bichorionic twin gestations with single IUFD in comparison with those with both fetuses alive. A retrospective and observational case-control study was performed in bichorionic biamniotic twin pregnancies, 22 complicated with single IUFD soon after 14 weeks (instances; IUFD group) and 51 with each fetuses alive (controls; non-IUFD group, from Obstetrics Service of La Paz Hospital (Madrid, Spain). The data had been collected from obstetrical records. No considerable variations have been found within the prices of gestational diabetes, gestational hypertension, preeclampsia, neonatal complications, and prematurity amongst IUFD and non-IUFD groups. Statistical variations were found for the incidence of intrauterine FGIN 1-27 Purity development restriction inside the surviving fetus in comparison to very first fetus of pregnancy with each fetuses alive (22.7 versus 2.0 , respectively; p-value = 0.012). There have been no differences in comparison to second fetus (11.8 ; p-value = 0.23). There was a high C-section rate in both groups (IUFD = 63.6 , non-IUFD = 64.7 ; p-value = 0.19). In conclusion, single IUFD in bichorionic biamniotic twin gestations is actually a uncommon complication that ought to be closely monitored. It’s vital that these gestations be attended by a clinical multidisciplinary team. Keywords and phrases: twin pregnancy; bichorionic biamniotic; intrauterine fetal death; maternal complications; fetal complicationsPublisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.1. Introduction In recent decades, Spanish society has changed socioeconomically, delaying motherhood. The Spanish Institute of Statistics located that the average maternal age of initially pregnancy was 32 years old in 2018 [1]. Sophisticated maternal age for pregnancy (more than 35 years) constitutes an independent risk element escalating the odds of numerous gestation. Furthermore, many pregnancies could be elevated by the use of assisted r.