Twin pregnancy is always a time of great joy, but one that brings with it anxieties and worries. In most cases it ends happily. But it is sometimes burdened with complications that can endanger the health and life of babies themselves, especially when they have only one placenta, the so-called monochorionic. For several years, with suitable surgical therapies that use laser technology, it has been possible to tackle and resolve the pathologies of monochorionic twin pregnancy. Last week the medical team of the Regional Reference Center for the pathologies of monochorionic pregnancy, whose head is Dr. Nicola Chianchiano, at the Operational Unit of Gynecology and Obstetrics of the Buccheri La Ferla Fatebenefratelli Hospital, directed by Dr. Salvatore Gueli Alletti carried out an operation with an encouraging result for a rare pregnancy complication.
The mother is in excellent condition and the pregnancy is currently evolving regularly. “This is the Trap sequence (Twin Reversed Arterial Perfusion), a rare complication of monochorionic twin pregnancy, one case in 35,000, in which a healthy twin (pump twin) coexists with a twin in which the cardiovascular system has not developed and the cephalic extreme. This twin, defined acardium, constitutes a serious danger for the whole pregnancy. In utero it survives thanks to the heart of the brother that circulates the blood in his organism. Alone it would not be vital and would not survive the birth. acardium twin in utero, in the long run, causes heart failure in the structurally normal twin with consequent death of the same healthy twin. , through the use of the interstitial laser, cutting-edge technology in the treatment of pathological monochorionic pregnancy “.
“The prenatal diagnosis has been performed for some time in our hospital – declares fra Gianmarco Languez, the Superior of the Hospital – is a very delicate area not only for the medical implications but also for those of a psychological and ethical nature which are appropriately kept in mind by making available special professional figures to offer support and support to future parents with the aim of enhancing the value of life from conception. The presence of our Center on the Island means that parental couples are no longer forced to face the inconveniences and costs of travel to reach one of the other centers (4 in total) located in Lombardy and Liguria “.
“For a correct assistance in cases of specific fetal pathology of monochorionic pregnancies – explain Dr. Gueli Alletti and Dr. Chianchiano – for years a dedicated assistance path has been established at the Buccheri La Ferla Hospital, based on the differentiation of a clinic reserved for diagnostics and the early classification of the risk in this type of pregnancy, guaranteeing all the necessary clinical and instrumental checks up to the moment of delivery. A multidisciplinary team has been formed consisting of: gynecologists, anesthetists, neonatologists, obstetricians, nurses, psychologists and specialized operating room personnel. Our goal is to intervene in all complicated pregnancies on the island to ensure better out as for newborns and less discomfort for families “.
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