Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome

David Garry, Andrzej Lysikiewicz, Jonathan Mays, Joseph Canterino, Nergesh Tejani

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

OBJECTIVE: Our purpose was to measure intra-amniotic pressure before and after decompression amniocentesis in twin-twin transfusion syndrome. STUDY DESIGN: Intra-amniotic pressures were measured during decompression amniocentesis on 18 occasions in 5 pregnancies complicated by twin-twin transfusion syndrome. The intra-amniotic pressure was determined with a water manometer before and after removal of amniotic fluid. For comparison, intra-amniotic pressure was determined in 10 uncomplicated gestations. RESULTS: Initial intra-amniotic pressures in twin-twin transfusion gestations (mean, 17.2 ± 5.2 cm H2O; range, 5.5 to 33.0 cm H2O) were higher than those of the uncomplicated gestations (mean, 8.4 ± 3.3 cm H2O; range, 3.5 to 13.5 cm H2O; p < 0.002). Intra-amniotic pressures following therapeutic amniocentesis (mean, 10.9 ± 5.1 cm H2O; range, 3.5 to 23.0 cm H2O) were not different from those of the uncomplicated gestations (p = 0.16). CONCLUSION: The intra-amniotic pressure in twin-twin transfusion gestations is higher than that of the uncomplicated gestation. Decompression amniocentesis reduces intra-amniotic pressure to that of the uncomplicated gestation.

Original languageEnglish (US)
Pages (from-to)284-286
Number of pages3
JournalJournal of Perinatology
Volume18
Issue number4
StatePublished - Jul 1998
Externally publishedYes

Fingerprint

Fetofetal Transfusion
Pressure
Pregnancy
Amniocentesis
Decompression
Amniotic Fluid
Water

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Garry, D., Lysikiewicz, A., Mays, J., Canterino, J., & Tejani, N. (1998). Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome. Journal of Perinatology, 18(4), 284-286.

Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome. / Garry, David; Lysikiewicz, Andrzej; Mays, Jonathan; Canterino, Joseph; Tejani, Nergesh.

In: Journal of Perinatology, Vol. 18, No. 4, 07.1998, p. 284-286.

Research output: Contribution to journalArticle

Garry, D, Lysikiewicz, A, Mays, J, Canterino, J & Tejani, N 1998, 'Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome', Journal of Perinatology, vol. 18, no. 4, pp. 284-286.
Garry D, Lysikiewicz A, Mays J, Canterino J, Tejani N. Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome. Journal of Perinatology. 1998 Jul;18(4):284-286.
Garry, David ; Lysikiewicz, Andrzej ; Mays, Jonathan ; Canterino, Joseph ; Tejani, Nergesh. / Intra-Amniotic Pressure Reduction in Twin-Twin Transfusion Syndrome. In: Journal of Perinatology. 1998 ; Vol. 18, No. 4. pp. 284-286.
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