复旦大学上海医学院妇产科学系2009级六年制妇产科学课件 Multifetal Gestation.ppt

Multifetal Gestation;Incidence;Incidence;Factors that Influence Twinning;Factors that Influence Twinning;Dizygotic twins;;Monozygotic twins;Conjoined twins (1:60,000) ;Importance of Chorionicity;Outcomes of Different Chorionic Twins ;Sonographic Evaluation（prenatal)--- Dichorionic Diamniotic twins (DCDA);Sonographic Evaluation（prenatal)--- Monochorionic Diamniotic twins (MCDA); no divided amnion;Determination of Chorionicity (postnatal);Complications(maternal);Complications (fetal);Outcomes in twins;Twin-specific Complications;1. Twin-Twin Transfusion Syndrome (TTTS);Vascular Anastomoses;Vascular Anastomoses in TTTS ;Fetal Brain Damage;Fetal Brain Damage (one twin demise); Diagnosis (Prenatal);Quintero staging system; Diagnosis (Postnatal);Treatment 1;Treatment 2;2.TRAP (Twin Reversed Arterial Perfusion) Sequence ;Diagnosis;Malformations of Acardia;Management;3. Discordant Twins (Diagnosis);Discordant Twins (sIUGR, MCDA);Management: Discordant Twins in DC;Management: Discordant Twins in MC;4.Monoamnionic Twins;Management;Delivery;Time of Delivery;Mode of Delivery 1;Mode of Delivery 2;Mode of Delivery 3;Thank you!