Review of international clinical guidelines related to prenatal screening during monochorionic pregnancies.

Title

Review of international clinical guidelines related to prenatal screening during monochorionic pregnancies.

Creator

Nicholas L; Fischbein R; Ernst-Milner S; Wani R

Publisher

Journal Of Clinical Medicine

Date

2021
2021-03-08

Description

We conducted a search for international clinical guidelines related to prenatal screening during monochorionic pregnancies. We found 25 resources from 13 countries/regions and extracted information related to general screening as well as screening related to specific monochorionic complications, including twin-twin transfusion syndrome (TTTS), selective fetal growth restriction (SFGR), and twin anemia-polycythemia sequence (TAPS). Findings reveal universal recommendation for the early establishment of chorionicity. Near-universal recommendation was found for bi-weekly ultrasounds beginning around gestational week 16; routine TTTS and SFGR surveillance comprised of regularly assessing fetal growth, amniotic fluids, and bladder visibility; and fetal anatomical scanning between gestational weeks 18-22. Conflicting recommendation was found for nuchal translucency screening; second-trimester scanning for cervical length; routine TAPS screening; and routine umbilical artery, umbilical vein, and ductus venosus assessment. We conclude that across international agencies and organizations, clinical guidelines related to monochorionic prenatal screening vary considerably. This discord raises concerns related to equitable access to evidence-based monochorionic prenatal care; the ability to create reliable international datasets to help improve the quality of monochorionic research; and the promotion of patient safety and best monochorionic outcomes. Patients globally may benefit from the coming together of international bodies to develop inclusive universal monochorionic prenatal screening standards.

Subject

AMNIOTIC liquid; clinical guidelines; FETAL growth retardation; monochorionic twin pregnancy; PREGNANCY; PRENATAL care; screening; UMBILICAL arteries

Identifier

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).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Issue

5

Volume

10

ISSN

2077-0383

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Family & Community Medicine

Update Year & Number

April 2021 List

Citation

Nicholas L; Fischbein R; Ernst-Milner S; Wani R, “Review of international clinical guidelines related to prenatal screening during monochorionic pregnancies.,” NEOMED Bibliography Database, accessed January 21, 2022, https://neomed.omeka.net/items/show/11614.

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