Fetofetal

1980, Angelo Ferrara, Anantham Harin, Emergency transfer of the high-risk neonate: a working manual for medical, nursing, and administrative personnel, C.V. Mosby Fetofetal transfusion is a condition in which one twin (recipient) will be hypervolemic, in cardiac failure, and plethoric, while the donor twin will be hypovolemic, shocky, and pale. Chronic fetofetal transfusions can result in a discrepancy of weight of over 10%.

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In four cases, appropriate shunt communications meant that the morpho-anatomical conditions were available for the presence of a fetofetal transfusion syndrome.

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The incidence of fetofetal transfusion syndrome was 20%, more than double the incidence previously reported in large series of twin deliveries that encompassed a wider gestational age range. The overall mortality was 55%, and mortality for the fetofetal transfusion group was 70%, whereas a subset of the fetofetal transfusion group, those without weight discordancy, had a mortality rate of 75%.

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When fetofetal transfusion syndrome occurs in very preterm gestation, treatment options are limited and often unsuccessful. The perinatal morbidity and mortality of fetofetal transfusion syndrome in very premature twin gestations in 48 pairs of twin gestations delivered at 24-28 weeks' gestation were studied.

Source: wiktionary