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A Case of Monochorionic-Diamniotic Twin Pregnancy Complicated by Massive Subchorionic Hemorrhage
Abstract
Massive subchorionic hemorrhage (MSH), which was first described by Breus in 1892 (Breus
mole) [1], is a serious condition in pregnancy that is frequently complicated by perinatal abnormalities such as feta growth restriction, oligohydramnios, preterm labor and fetal demise due to uteroplacental circulatory insufficiency from MSH mainly formed by a large quantity maternal blood [2-4]. For example, Thomas et al [3] observed the presence of redistribution in the fetoplacental circulation in their 2 cases of MSH by Doppler ultrasound examination. Recently, we encountered a case of monochorionic-diamniotic twin pregnancy complicated by MSH observed after 28 weeks of gestation which led to the changes in fetal circulation of the both twins.
doi: http://dx.doi.org/10.4021/jcgo135w
mole) [1], is a serious condition in pregnancy that is frequently complicated by perinatal abnormalities such as feta growth restriction, oligohydramnios, preterm labor and fetal demise due to uteroplacental circulatory insufficiency from MSH mainly formed by a large quantity maternal blood [2-4]. For example, Thomas et al [3] observed the presence of redistribution in the fetoplacental circulation in their 2 cases of MSH by Doppler ultrasound examination. Recently, we encountered a case of monochorionic-diamniotic twin pregnancy complicated by MSH observed after 28 weeks of gestation which led to the changes in fetal circulation of the both twins.
doi: http://dx.doi.org/10.4021/jcgo135w
Keywords
Monochorionic-diamniotic twin pregnancy; Massive subchorionic hemorrhage; Oligohydramnios