Re: Twin gestation

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Tue Nov 13 21:32:58 2007


Yes, there is a slight increase in the risk of intrauterine death of the surviving twin and a slight increase in premature labour, but the overwhelming majority of these continue as a singleton pregnancy without any further problem and I would be as reassuring as possible in this case.

Steve Raymond

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew

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Folley
Sent: Wednesday, 14 November 2007 5:26 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Twin gestation

>From my experience I would inform of fetal demise or "miscarriage" of second twin. First will most likely develop normally. Need to check literature on outcomes (ie increased risk PTL, stillbirth?) etc for loss of twin in first trimester.

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Date: Tue, 13 Nov 2007 01:07:44 -0600 ________________________________ From: henrygregor@yahoo.com To: ob-gyn-l@dns.obgyn.net Subject: Twin gestation

Healthy 21 yo, first pregancy, with twins at nine plus weeks has one viable fetus w/ twin A age approprate CRL with fetal movement and heart rate. Twin B with irreglar GS, no fetal movement or HR, CRL at 7- 8 weeks.....how to counsel and follow patient now?

Hank

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