Impact of obesity on pregnancies undergoing laser therapy for twin-twin transfusion syndrome

Fetal Diagnosis and Therapy

Log in to MyKarger to check if you already have access to this content.

Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Access via DeepDyve Unlimited fulltext viewing Of this article Organize, annotate And mark up articles Printing And downloading restrictions apply

Select

Subscribe Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use read more

Subcription rates

Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details Abstract

Introduction: 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

Article / Publication Details Copyright / Drug Dosage / Disclaimer Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

留言 (0)

沒有登入
gif