Monokoryonik Monoamniyotik İkiz Gebeliklerde Tersiyer Bir Merkezdeki Deneyimimiz

Amaç: Monokoryonik monoamniyotik ikiz gebeliklerin (MKMA) kliniğimizdeki uyguladığımız yönetim şekli ile gebelik sonuçlarının değerlendirilmesi, bu gebeliklerdeki komplikasyonların tanımlanması.Materyal ve metod: Çalışmaya üç yıllık süreçte kliniğimizde takip edilen ve sonuçlandırılan MKMA ikiz gebelikler dahil edildi. Veriler retrospektif olarak toplandı, çalışmaya dahil edilen gebeliklerin gebelik sonuçları, monokoryonisiteye spesifik gebelik komplikasyonlar ve bu gebeliklerdeki konjenital malformasyonlar kaydedildi. Bulgular: Üç yıllık süreçte toplam 12 MKMA ikiz gebeliğin kliniğimizde takip ve yönetimi uygulanmıştır. Üç olguda ikiz eşi doğum öncesi dönemde intrauterin fetal kayıp ile komplike olmuştur. Bir olguda her iki fetüsün intrauterin kaybı ile sonuçlanmıştır. Hiçbir olguda monokoryonisite spesifik komplikasyon ile karşılaşılmadı. Bir olguda her ikizde diskordan konjenital malformasyonlar mevcuttu.Sonuç: MKMA gebelikler nadir fakat perinatal tıpta en karmaşık ve yönetim açısından tartışmalı konulardandır. Nasıl yönetilmesi ve ne zaman teslim edileceği konusunda henüz netlik yoktur. Bu çalışmada kliniğimizdeki yönetim protokolümüzle ilgili deneyimimizi bildirdik.Anahtar Kelimeler: Monokoryonisite, Monoamniyotik ikiz, Monozigosite

Anahtar Kelimeler:

Monokoryonisite, monoamniyotik ikiz, monozigosite

Management of Monochorionic Monoamniotic Twin Pregnancy Experience of a Tertiary CenterPP

Background: Evaluation of obstetric outcomes of monochorionic monoamniotic twin pregnancies (MCMA) with our management method that we apply in our clinic, and to describe the complications in these pregnancies.Materials and Methods: MCMA twin pregnancies that are followed and finalized in our clinic in three years period were included in the study. The data were collected retrospectively, pregnancy outcomes of the pregnancies included in the study, pregnancy complications specific to monochorionicity and congenital malformations in these pregnancies were recorded.Results: A total of 12 MCMA twin pregnancies were followed and managed in our clinic over a three-year period. In three cases, intrauterine death of co-twin was complicated in prenatal period. In one case, it resulted in intrauterine demise of both fetuses. No monochorionicity-specific complication was encountered in any case. Discordantly congenital malformations were present in both twins in one pregnancyConclusion: MCMA pregnancies are rare but one of the most complex and controversial issues in terms of management in perinatal medicine. There is no clarity yet on how to manage and when to deliver. In this study, we reported our experience with our management protocol in our clinic.Key words: Monochorionisity, Monoamniotic pregnancy, Monozygosity

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