1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.3390/jcm8070977" target="_blank" rel="noreferrer noopener">http://doi.org/10.3390/jcm8070977</a> Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Issue 7 Volume 8 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Dispelling Myths about Antenatal TAPS: A Call for Action for Routine MCA-PSV Doppler Screening in the United States Publisher An entity responsible for making the resource available Journal of Clinical Medicine Date A point or period of time associated with an event in the lifecycle of the resource 2019 2019-07 Subject The topic of the resource anemia-polycythemia sequence; cerebral-artery; clinical guidelines; diagnostic-criteria; fetal; General & Internal Medicine; laser-surgery; MCA-PSV Doppler; middle; monochorionic diamniotic twin pregnancy; peak systolic velocity; perinatal management; placental echogenicity; prevalence; screening; TAPS; twin anemia-polycythemia sequence; twin transfusion syndrome Creator An entity primarily responsible for making the resource Nicholas Lauren; Fischbein Rebecca; Aultman Julie; Ernst-Milner Stephanie Description An account of the resource In the United States, routine middle cerebral artery peak systolic velocity (MCA-PSV) Doppler screening for the detection of antenatal twin anemia-polycythemia sequence (TAPS) is not recommended. The current and only national clinical guideline from the highly-influential Society for Maternal-Fetal Medicine states that, "There is no evidence that monitoring for TAPS with MCA PSV Doppler at any time, including > 26 weeks, improves outcomes, so that this additional screening cannot be recommended at this time." We argue this recommendation has disproportionate influence on patients and the care they are offered and receive. We use current evidence to highlight and dispel pervasive myths surrounding antenatal TAPS and the value of routine MCA-PSV screening. An ethical framework that illustrates the importance of giving patients the opportunity for routine screening is presented. Findings demonstrate that: (1) both spontaneous and post-laser TAPS is a serious, potentially life-threatening complication, (2) treatment for TAPS is effective and includes expectant management, intrauterine transfusion (IUT), or surgery, (3) and routine MCA-PSV, which has satisfactory diagnostic accuracy, is currently the only way to provide early detection of TAPS. We conclude that routine TAPS screening is a medically proven valuable resource that should be offered to patients in need and to the clinicians who are trying to act toward their benefit. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.3390/jcm8070977" target="_blank" rel="noreferrer noopener">10.3390/jcm8070977</a> 2019 anemia-polycythemia sequence Aultman Julie cerebral-artery clinical guidelines Department of Family & Community Medicine diagnostic-criteria Ernst-Milner Stephanie fetal Fischbein Rebecca General & Internal Medicine Journal of Clinical Medicine laser-surgery MCA-PSV Doppler middle monochorionic diamniotic twin pregnancy NEOMED College of Graduate Studies NEOMED College of Medicine Nicholas Lauren peak systolic velocity perinatal management placental echogenicity Prevalence screening September 2019 Update TAPS twin anemia-polycythemia sequence twin transfusion syndrome