Resolution of superimposed pre-eclampsia, and improvement in umbilical artery flow in a surviving twin after intrauterine demise of its co-twin

Deepa M. Narasimhulu, Scarlett Karakash, Linda Rankin, Howard Minkoff

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Pre-eclampsia has a progressive clinical course, and is only cured by delivery of the placenta. We report a 30-year-old G1P0 with dichorionic twins, discordant growth and chronic hypertension who developed superimposed pre-eclampsia in her 21st week of gestation. After intrauterine demise of the severely growth-restricted twin, the superimposed pre-eclampsia resolved. The surviving twin initially had absent end diastolic flow, which resolved after the demise. A healthy 1935-g neonate with Apgar 9/9 was delivered at 34weeks. Antenatal resolution of pre-eclampsia is extremely rare and resolution of superimposed pre-eclampsia has not, to our knowledge, been reported.

Original languageEnglish (US)
Pages (from-to)1473-1477
Number of pages5
JournalJournal of Obstetrics and Gynaecology Research
Volume41
Issue number9
DOIs
StatePublished - Sep 1 2015

Keywords

  • dichorionic twins
  • intrauterine fetal demise
  • superimposed pre-eclampsia

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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