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40
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Text
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<a href="http://doi.org/10.1515/jpm-2018-0240" target="_blank" rel="noreferrer noopener">http://doi.org/10.1515/jpm-2018-0240</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
388-392
Issue
4
Volume
47
Dublin Core
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Title
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Twin anemia-polycythemia sequence and routine monitoring practices amongst maternal-fetal medicine specialists in the United States: an initial investigation
Publisher
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Journal of Perinatal Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05
Subject
The topic of the resource
diagnosis; maternal-fetal medicine; monitoring; monochorionic-diamniotic pregnancy; routine monitoring; twin anemia-polycythemia sequence
Creator
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Nicholas Lauren D; Fischbein Rebecca L; Bhamidipalli Surya S
Description
An account of the resource
Background The purpose of this initial investigation was to begin to understand the routine twin anemia-polycythemia sequence (TAPS) monitoring practices of maternal-fetal medicine specialists (MFM specialists) in the United States in the absence of a formal guideline. Methods This study used an anonymous, online survey of 90 MFM specialists who were practicing in the United States. A $5 gift card to an online store was used to incentivize participants. Descriptive statistics were calculated. Results All MFM specialists reported at least some familiarity (100.00%) with TAPS. Most participants (92.94%) were familiar with methods for monitoring patients for TAPS and nearly all (97.50%) responded that they use 'Doppler MCA-PSV' to make a prenatal TAPS diagnosis. Nearly two-thirds of MFM specialists surveyed (65.06%) reported performing regular TAPS monitoring for patients with monochorionic-diamniotic (MCDA) pregnancies. Conclusion Despite no formal guidelines, the majority of American MFM specialists surveyed are using routine TAPS screening in their management of MCDA twin pregnancies, suggesting that the MFM specialists included in this study consider it a valuable diagnostic tool. Future research should further explore this possible trend toward routine TAPS monitoring amongst MFM specialists in the United States, as well as the potential value of routine TAPS monitoring in MCDA pregnancy.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1515/jpm-2018-0240" target="_blank" rel="noreferrer noopener">10.1515/jpm-2018-0240</a>
2019
Bhamidipalli Surya S
College of Medicine
Department of Family & Community Medicine
Diagnosis
Fischbein Rebecca L
Journal of perinatal medicine
June 2019 Update
maternal-fetal medicine
Monitoring
monochorionic-diamniotic pregnancy
NEOMED College of Medicine
Nicholas Lauren D
routine monitoring
twin anemia-polycythemia sequence
-
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
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Title
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Dispelling Myths about Antenatal TAPS: A Call for Action for Routine MCA-PSV Doppler Screening in the United States
Publisher
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Journal of Clinical Medicine
Date
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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
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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
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<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