About this Medicine article

Rapid and Radical Amniodrainage in the Treatment of Severe Twin–twin Transfusion Syndrome^†^ by Eric Jauniaux; Anna Holmes; Jon Hyett; Robert Yates; Charles Rodeck is a Medicine article available to read on EtoBox.

## Abstract We have evaluated the role of a rapid and radical method of amniodrainage in the treatment of severe twin–twin transfusion. The outcome of 15 patients with severe twin–twin transfusion for which a amniodrainage was performed by means of a vacuum bottle system was compared with the outcome of 15 patients with a similar condition, matched for gestational age at the time of the initial procedure and drained using a standard procedure. In the study group the amniodrainage ended when no amniotic fluid could be aspirated, whereas the women in the standard group were drained with a syringe system and the fluid was removed until the deepest amniotic fluid pool was <8 cm. At the initial procedure, the mean volume of amniotic fluid drained was significantly (__p__<0.05) higher (3252 vs 2153 ml) and the length of the procedure significantly (__p__<0.001) shorter (21 vs 41 min) in the study group than in the standard group. The mean post‐procedure amniotic fluid index was significantly (__p__<0.001) smaller (2.9 vs 7.7 cm) after radical amniodrainage than after the standard amniodrainage. The mean number of procedures was significantly (__p__<0.001) lower (1.5 vs 5.6) in the study

Author

Eric Jauniaux; Anna Holmes; Jon Hyett; Robert Yates; Charles Rodeck

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 0197-3851)

Published

2001

Language

EN

Field

Medicine (Health Sciences)