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Article / Publication Details AbstractIntroduction: We sought to determine if maternal obesity, defined by BMI 30-34.9 or BMI 35, negatively impacts the technical aspects and pregnancy outcomes in women treated with selective laser photocoagulation of placental communicating vessels for twin-twin transfusion syndrome (TTTS). Methods: Retrospective review of women undergoing laser for TTTS from January 2010 – December 2021. Outcomes were stratified based on maternal BMI 35. Data obtained included maternal age, parity, ethnicity, gestational age at laser, placental location, Quintero stage and CHOP cardiovascular score, operative and anesthesia times, procedure to delivery interval, gestational age at delivery, survival to birth, survival to discharge, and presence of residual anastomoses. Statistical analysis included chi-square or Fisher’s exact test for categorical variables and Mann Whitney U test for continuous variables with p 35. There were no differences in maternal age, parity or ethnicity, Quintero stage, CHOP cardiovascular score, placental location, operative time, laser to delivery interval, gestational age at delivery, survival outcomes, or presence of residual anastomoses between the three groups. Patients with BMI of 30-34.9 were operated on at a slightly later gestational age and those with BMI > 35 had longer operative and anesthesia times. There were no technical failures as a result of BMI > 30 or 35. Discussion/Conclusion: Using appropriate technical adjustments, outcomes for obese women undergoing laser for TTTS are similar to non-obese women although patients with BMI > 35 have longer operative and anesthesia times.
S. Karger AG, Basel
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