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  • Title: [Intrauterine fetal death--analysis of incidence and causes in an unselected group of 199 twin pregnancies 1985-1989].
    Author: Schröder W.
    Journal: Geburtshilfe Frauenheilkd; 1991 May; 51(5):351-4. PubMed ID: 1869001.
    Abstract:
    Intrauterine death of one twin is an important factor, apart from prematurity in the high perinatal mortality rate in twin pregnancy. In 8 cases (4%) of a total of 199 twin pregnancies (2%), one foetus died antenatally. We examined retrospectively by single-case analysis the clinical and pathologico-anatomical features, which probably caused the intrauterine death of one twin. Placental insufficiency, associated with consecutive intrauterine growth retardation of either twin, was the leading reason in the relevant cases. In 23.3% of all twin pregnancies birth weight differences between both twins were 400 g and plus; in 5.1%, the differences were 700 g and plus. These data suggests, that in the monitoring or care of multiple pregnancies, intrauterine growth retardation of one foetus needs close observation as well as regular ultrasound examinations and cardiotocography.
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