{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T17:01:20Z","timestamp":1781715680835,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare clinical differences and growth velocity patterns between early\u2010 and late\u2010onset selective fetal growth restriction (sFGR) in monochorionic diamniotic (MC) twins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study analyzed 394\u00a0MC twin pregnancies with sFGR (2017\u20132024). Early\u2010onset (\u2264 24\u00a0weeks) and late\u2010onset (&gt; 24\u00a0weeks) groups were compared for fetal growth velocity (serial EFW measurements) and perinatal outcomes (composite morbidity\/mortality).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before 28\u00a0weeks, the larger twin's EFW growth was similar in both groups. The smaller twin in late\u2010onset sFGR grew faster than in early\u2010onset sFGR until 32.9\u00a0weeks. Early\u2010onset sFGR is associated with higher rates of Type II\/III sFGR (31.7% vs. 9.8% in late\u2010onset). Perinatal mortality was similar (5.8% vs. 4.7%), but adverse outcomes were higher in early\u2010onset (69.5% vs. 48.6%). Median delivery GA was earlier in early\u2010onset (32.7 vs. 34.3\u00a0weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In MCDA twin pregnancies, early\u2010onset sFGR leads to more adverse perinatal outcomes than late\u2010onset cases, despite similar perinatal mortality rates. Early\u2010onset sFGR is more often associated with Type II and III sFGR. This information can help clinicians offer better counseling on perinatal outcomes and management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pd.70081","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T02:25:49Z","timestamp":1769653549000},"page":"468-474","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perinatal Outcome of Early\u2010 and Late\u2010Onset Selective Fetal Growth Restriction in Monochorionic Diamniotic Twin Pregnancies"],"prefix":"10.1002","volume":"46","author":[{"given":"Li","family":"Zhao","sequence":"first","affiliation":[{"name":"The Women's Hospital School of Medicine Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan\u2010hua","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Women's Hospital School of Medicine Zhejiang University  Hangzhou 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