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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome
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Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome

机译：一对双胎胎儿运动减少的产妇知觉：导致双胎双胎急性输血综合征早期变异性缺失的线索

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Decreased fetal movement (DFM) perceived by pregnant women sometimes indicates imminent fetal jeopardy. It is unknown whether this also holds true for twin pregnancy. A 27-year-old primiparous woman with monochorionic diamniotic (MD) pregnancy had a slight difference of amniotic fluid volume at 312/7weeks of gestation. DFM only in one twin at 314/7weeks of gestation prompted her to receive urgent consultation. Since cardiotocogram indicated absent variability of one twin, we performed Cesarean section. Male infants weighing 2060 g and 1578 g were delivered; hemoglobin was 20.7 versus 10.8 g/dL, respectively; cardiothoracic ratio was 70% versus 44%, respectively, indicating acute twin-to-twin transfusion syndrome (TTTS). The recipient infant had heart failure, which was still observed at 1 month postpartum. In conclusion, maternal perception of DFM indicated imminent fetal death or jeopardy caused by acute TTTS, suggesting that education regarding DFM for women with twin pregnancy may be clinically important.
机译：孕妇感知到的胎儿运动减少（DFM）有时表明即将来临的胎儿危害。尚不清楚这是否也适用于双胎妊娠。一名患有单绒毛膜羊膜炎（MD）怀孕的27岁初产妇在妊娠312/7周时羊水量略有不同。 DFM仅在妊娠314/7周时出现在一对双胞胎中，促使她接受紧急咨询。由于心电图显示一对双胞胎无变异性，我们进行了剖宫产术。分娩的体重分别为2060微克和1578微克的男婴。血红蛋白分别为20.7和10.8μg/ dL;心胸比率分别为70％和44％，表明急性双胎双输血综合征（TTTS）。接受治疗的婴儿患有心力衰竭，在产后1个月仍可观察到。总之，母体对DFM的感知表明由急性TTTS引起的胎儿死亡或危险即将来临，这表明对双胎妊娠妇女进行DFM的教育可能在临床上很重要。

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