Fetal discrepancy during first trimester in dichorionic twins
ZHANG Yi-xiu, MENG Hua, OUYANG Yunshu, JIANG Yu-xin, DAI Qing, XU Zhong-hui, YANG Meng, YUAN Yan, LU Jia, LOU Hai-ya, LI Peng, YANG Xiao
Published 2012-03-25
Cite as Chin J Ultrasonogr, 2012,21(03): 228-230. DOI: 10.3760/cma.j.issn.1004-4477.2012.03.016
Abstract
Objective To investigate the incidence and distribution of fetal discrepancy during the first trimester in dichorionic twins.Methods This was a prospective analysis of dichorionic twin pregnancies that underwent 11+0~ 13+6 week scan at a tertiary hospital from Sep 2008 to Oct 2010.Differences in crown-rump length (CRL),nuchal translucency ( NT),heart rate ( HR).deepest vertical pockets of amniotic fluid (DVP) for every pair of twin fetuses were calculated and expressed as absolute value and percentage of discordance.Results A total of 66 dichorionic twin pregnancies were included.The average CRL was significantly different between the larger fetus and the smaller one,which were (65.28 ±8.54)mm and (62.34 ± 8.49) mm respectively ( P < 0.001).The average NT was significantly different between two fetuses,which were ( 1.56 ± 0.35) mm and (1.28 ± 0.30) mm respectively. HR and DVP were also statistically different between two fetuses ( P <0.001).Conclusions The growth of two fetuses in normal dichorionic twins is not uniform during the first trimester.
Key words:
Ultrasonography ; Twins,dizygotic ; Pregnancy trimester,first ; Growth discrepancy
Contributor Information
ZHANG Yi-xiu
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
MENG Hua
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
OUYANG Yunshu
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
JIANG Yu-xin
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
DAI Qing
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
XU Zhong-hui
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
YANG Meng
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
YUAN Yan
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
LU Jia
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
LOU Hai-ya
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
LI Peng
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China
YANG Xiao
Department of Ultrasound, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences ,Beijing 100730,China