{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T04:20:34Z","timestamp":1729657234060,"version":"3.28.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T00:00:00Z","timestamp":1381104000000},"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":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate the value of discordance of crown\u2013rump length (<jats:styled-content style=\"fixed-case\">DCRL<\/jats:styled-content>) at mid\u2010first trimester to predict adverse outcomes in monochorionic diamniotic twin gestations (<jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This was a retrospective cohort study of the perinatal outcome in <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> pregnancies managed from the first trimester onward. <jats:styled-content style=\"fixed-case\">DCRL<\/jats:styled-content> was evaluated between 8 and 10 weeks of gestation. The association between <jats:styled-content style=\"fixed-case\">DCRL<\/jats:styled-content> and perinatal complications, including fetal death, twin\u2013twin transfusion syndrome, severe discordant birthweight (<jats:styled-content style=\"fixed-case\">DB<\/jats:styled-content>), and twin anemia\u2010polycythemia sequence, was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 126 cases, a single fetal demise occurred in two (2%) and demise of both fetuses occurred in eight (6%). Five pregnancies (4%) were complicated with twin\u2013twin transfusion syndrome; one case (1%) was twin anemia\u2010polycythemia sequence and 13 (10%) were <jats:styled-content style=\"fixed-case\">DB<\/jats:styled-content>. Neonatal death occurred in one pair. At 28 days of age, in 115 cases (91%) both twins were alive. In 117 cases (93%), at least one twin survived until 28 days of age. <jats:styled-content style=\"fixed-case\">DCRL <\/jats:styled-content>&gt;12.0% was not related to any perinatal complications but <jats:styled-content style=\"fixed-case\">DB<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01; relative risk: 1.40; 95% confidence interval: 1.06\u20131.84).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">DCRL<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> during the mid\u2010first trimester might be useful for predicting <jats:styled-content style=\"fixed-case\">DB<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12178","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:34:27Z","timestamp":1381545267000},"page":"418-423","source":"Crossref","is-referenced-by-count":5,"title":["Perinatal complications of monochorionic diamniotic twin gestations with discordant crown\u2013rump length determined at mid\u2010first trimester"],"prefix":"10.1111","volume":"40","author":[{"given":"Soichiro","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"},{"name":"Department of Obstetrics and Gynecology Tokushima University  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruna","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaharu","family":"Murata","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shusaku","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Mitsuda","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Medical Center and Research Institute for Maternal and Child Health  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb10948.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.11.002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01556.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(83)90111-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/15513818909026918"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000243201"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1990.tb02521.x"},{"key":"e_1_2_6_9_1","first-page":"517","article-title":"Acute twin\u2010twin transfusion: A possible mechanism for brain\u2010damaged survivors after intrauterine 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