{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:23:58Z","timestamp":1784881438214,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T00:00:00Z","timestamp":1374451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to examine the incidence, placental characteristics and outcome in acute peripartum twin\u2013twin transfusion syndrome (<jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>All consecutive cases of monochorionic (<jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>) twins admitted to our center were included in the study. We excluded cases with chronic <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> or twin anemia polycythemia sequence. Acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> was defined when the inter\u2010twin hemoglobin difference at birth was &gt;8\u2009g\/dL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 241 <jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content> twin pregnancies were included in the study. Acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> was detected in six cases (2.5%, 6\/241). Vaginal delivery occurred more often in the acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> group compared to the control group of uncomplicated <jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content> pregnancies, 100% (6\/6) versus 57% (135\/235) (<jats:italic>P<\/jats:italic>\u2009=\u20090.002), respectively. Acute anemia was detected only in firstborn twins. Placental angioarchitecture in acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> was similar to the placentas in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content> is low (2.5%). Birth order and mode of delivery appear to be associated with increased risk of acute peripartum <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12114","type":"journal-article","created":{"date-parts":[[2013,7,23]],"date-time":"2013-07-23T04:44:42Z","timestamp":1374554682000},"page":"18-24","source":"Crossref","is-referenced-by-count":40,"title":["Acute peripartum twin\u2013twin transfusion syndrome: Incidence, risk factors, placental characteristics and neonatal outcome"],"prefix":"10.1111","volume":"40","author":[{"given":"Enrico","family":"Lopriore","sequence":"first","affiliation":[{"name":"Division of Neonatology Department of Pediatrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanneke","family":"Holtkamp","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine Department of Obstetrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marieke","family":"Sueters","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine Department of Obstetrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna M.","family":"Middeldorp","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine Department of Obstetrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans J.","family":"Walther","sequence":"additional","affiliation":[{"name":"Division of Neonatology Department of Pediatrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dick","family":"Oepkes","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine Department of Obstetrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.03.050"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2006.01.010"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000304512"},{"key":"e_1_2_6_5_1","first-page":"184","article-title":"Acute intrapartum twin\u2010twin transfusion. 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