Conjoined twins pregnancies: experience with 36 cases from a single center
Article first published online: 8 SEP 2011
Copyright © 2011 John Wiley & Sons, Ltd.
Volume 31, Issue 12, pages 1120–1125, December 2011
How to Cite
Brizot, M. L., Liao, A. W., Lopes, L. M., Okumura, M., Marques, M. S., Krebs, V., Schultz, R. and Zugaib, M. (2011), Conjoined twins pregnancies: experience with 36 cases from a single center. Prenat. Diagn., 31: 1120–1125. doi: 10.1002/pd.2843
- Issue published online: 25 NOV 2011
- Article first published online: 8 SEP 2011
- Manuscript Accepted: 19 JUL 2011
- Manuscript Revised: 7 JUL 2011
- Manuscript Received: 13 OCT 2010
- twin pregnancy;
- conjoined twins;
- fetal ecocardiography;
- prenatal diagnosis
To review a single center´s experience in the management of twin pregnancies with conjoined fetuses.
Retrospective study describing prenatal findings, delivery details, surgical treatment and perinatal outcome.
The study included 36 twin pregnancies with conjoined twins seen over a period of 12 years in a single tertiary hospital: 69.4% were thoracopagus, 13.9% parapagus, 8.3% omphaloischiopagus 5.6% omphalopagus and 2.8% cephalopagus. Cardiac defects were present in 91.6% of twin pairs and associated malformations were present in 61.8% of the cases: limb abnormalities in 36.1%, abdominal wall defects in 25.0%, cleft lip and/or palate in 13.9% and congenital diaphragmatic hernia in 5.5%. Surgical separation was considered not feasible and prognosis lethal in 30 (83.3%) cases. Termination of pregnancy was performed in 12 pregnancies of poor prognosis. Cesarean section was performed in all remaining cases. Five sets of twins underwent surgical separation and six children survived. Overall survival in our series was 8.3% and, among the livebirths, 13.6%.
Conjoined twin pregnancies should be referred to tertiary centers for detailed fetal anomaly and echocardiographic assessment to evaluate prognosis and determine the possibility of postnatal surgical separation. Copyright © 2011 John Wiley & Sons, Ltd.