The outcome of an individual twin can be effected by its co-twin in many ways, including death of its co-twin." Chasen, MD, an assistant professor of obstetrics and gynecology in the division of maternal-fetal medicine at Weill Medical College of Cornell University in New York, tells WebMD, " underscores the fact that a twin pregnancy is not the equivalent of two pregnancies. Among different-sex twin survivors, the odds were slightly better. They found that the prevalence of cerebral palsy and other cerebral problems was about one in 10 in survivors of same- sex twins. Researchers mailed questionnaires to the physicians of all surviving co-twins in England and Wales between 19. " indicate that we need a greater understanding of twin development during pregnancy." Pharoah, emeritus professor of public health, at the University. "Where the surviving twin is the same sex as the, the risk appears even higher," she tells WebMD on behalf of lead author P.O.D. The findings were reported in the May 5 issue of the British medical journal The Lancet.Įxperts have known that when one twin dies before birth, risk of cerebral impairment is higher for the surviving twin, according to Mary Jane Platt, MD, senior lecturer in the department of public health at the University of Liverpool, England. "You could go on to have a healthy baby.- British researchers have determined that when one twin dies before birth, the surviving twin is left with a 20% greater risk for cerebral palsy and other brain impairments than when both twins survive. “I just want to tell women that, if they’re ever in the same situation, there is hope," she says. Vigarino says she hopes her story can help other women in the same situation. "The most important part when the water breaks early is that you go see a doctor and understand what the risks are to the baby and to you," she says. Singh stresses that it's important for women who suffer from PPROM to get their questions answered. "Her situation goes to show that we can’t always predict what course a pregnancy is going to take," Singh says. Katherine Singh, M.D., a high-risk ob/gyn at the Cleveland Clinic who treated Vigarino, calls her patient's case "remarkable." While Singh regularly sees patients with PPROM, she says most cases happen when a woman is 34 to 37 weeks pregnant, which is not considered as risky to the baby. If the tear would have lost all fluid and not re-accumulated, things may have ended up very, very differently.” “In this case, Tara’s leak seemed to have sealed up and the fluid re-accumulated-which is wonderful for both mom and baby. However, Schwersenski says every case of PPROM is different. Jeff Schwersenski, M.D., a neonatologist at Cleveland Clinic Children’s who is treating Dominic says the baby is now “on the homestretch” and is expected to be discharged within the next 10 days. Wider notes that early diagnosis and management is key to survival of the baby, which likely worked in Vigarino’s favor. She also points out that women who experience this once are at a much higher rate of experiencing it again. What causes PPROM in the first place? Streicher admits that experts aren’t totally sure, but says genetics or an infection could play a role. However, how well a baby does largely depends on how much the amniotic sac ruptured (whether it was a leak or a full rupture), and how well the mother is able to replace the amniotic fluids, Streicher says.
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