Skip to main content
SpringerLink
Log in

Mehrlinge

  • Chapter
Die Geburtshilfe

Zusammenfassung

In den letzten 15–20 Jahren war in allen Industrieländern eine steigende Anzahl an Mehrlingsgeburten zu verzeichnen. DieserTrend wird auf die zunehmende Anwendung der Methoden der assistierten Reproduktion und das steigende Lebensalter der Gebärenden zurückgeführt. In Mitteleuropa finden sich rund 110 Zwillings- und 2 Drillingsgeburten auf 10000 Lebendgeburten.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Aisenbrey GA, Catanzarite VA, Hurley TJ, Spiegel JH, Schrimmer DB, Mendoza A (1995) Monoamniotic and pseudoamniotic twins: sonographic diagnosis, detection of cord entanglement, and obstetric management. Obstet Gynecol 86: 218–222

    Article  PubMed  CAS  Google Scholar 

  • Alfirevic Z, Neilson JP (1996) The current status of Doppler sonography in obstetrics. Curr Opin Obstet Gynecol 8: 114–118

    Article  PubMed  CAS  Google Scholar 

  • American College of Obstetricians and Gynecologists (1989) Multiple Gestation. ACOG Techn Bull 131

    Google Scholar 

  • American Society for Reproductive Medicine (1996) Assisted reproductive technology in the United States and Canada: 1994 results generated from the American Society for Reproductive Medicine/Society for Assisted Reproductive Technology Registry. Fertil Steril 66: 697–705

    Google Scholar 

  • Antsaklis A, Daskalakis S, Souka A, Kavalakis J, Michalas S (2002) Second trimester amniocentesis versus chorionic villus sampling for prenatal diagnosis in multiple gestations. Ultrasound Obstet Gynecol 19

    Google Scholar 

  • Baldwin VJ (1994a) Pathology of multiple pregnancy. Springer, Berlin Heidelberg New York Tokyo, S 49

    Book  Google Scholar 

  • Baldwin VJ (1994b) Pathology of multiple pregnancy. Springer, Berlin Heidelberg New York Tokyo, S 231

    Book  Google Scholar 

  • Botting BJ, Macfarlane AJ, Bryan E, Murphy GF, Richards MPM (1990) Background. In: Botting BJ, Macfarlane AJ, Price FV (eds) Three, four and more. A study of triplet and higher order births. HMSO, London, pp 15–30

    Google Scholar 

  • Bronshtein M, Rottem S, Yoffe N, Blumenfeld Z, Brandes JM (1990) Early determination of fetal sex using transvaginal sonography: technique and pitfalls. J Clin Ultrasound 18: 302–306

    Article  PubMed  CAS  Google Scholar 

  • Bronsteen R, Goyert G, Bottoms S (1989) Classification of twins and neonatal morbidity. Obstet Gynecol 74: 98–101

    PubMed  CAS  Google Scholar 

  • Callahan TL, Hall JE, Ettner SL, Christiansen CL, Greene MF, Crowley WF (1994) The economic impact of multiple-gestation pregnancies and the contribution of assisted-reproduction techniques to their incidence. N Engl J Med 331: 244–249

    Article  PubMed  CAS  Google Scholar 

  • Campbell DM, Smith AP, Wilson AW (1990) Estimated fetal weight in twin pregnancy: how good are we?. Acta Genet Med Gemellol 39: 395–399

    PubMed  CAS  Google Scholar 

  • Caravello JW, Chauhan SP, Morrison JC, Magann EF, Martin JN, Devoe LD (1997) Sonographic examination does not predict twin growth discordance accurately. Obstet Gynecol 89: 529–33

    Article  PubMed  CAS  Google Scholar 

  • Chervenak FA, Johnson RE, Youcha S, Hobbins JC, Berkowitz RL (1985) Intrapartum management of twin gestation. Obstet Gynecol 65: 119–124

    PubMed  CAS  Google Scholar 

  • Chauhan SP, Washbume JF, Martin JN, Roberts WE, Roach H, Morrison JC (1993) Intrapartum assessment by house staff of birth weight among twins. Obstet Gynecol 82: 523–526

    PubMed  CAS  Google Scholar 

  • Chauhan SP, Roberts WE, McLaren RA, Roach H, Morrison JC, Martin JN (1995) Delivery of the nonvertex second twin: breech extraction versus external cephalic version. Am J Obstet Gynecol 173: 1015–1020

    Article  PubMed  CAS  Google Scholar 

  • Chauhan SP, Cowan BD, Brost BD, Washbume JF, Magann EF, Morrison JC (1996) Estimating birth weight in twins. Comparison of eight sonographic models. J Reprod Med 41: 403–408

    PubMed  CAS  Google Scholar 

  • Chauhan SP, Roberts WE (1996) Intrapartum management. In: Gall SA (ed) Multiple pregnancy and delivery. Mosby, St. Louis, pp 243–280

    Google Scholar 

  • Davison L Easterling TR, Jackson JC, Benedetti TJ (1992) Breech extraction of low-birth-weigth second twins: can cesarean section be justified?. Am J Obstet Gynecol 166: 497–502

    PubMed  CAS  Google Scholar 

  • De Jong MW, Van Lingen RA, Wildschut J, Van Eijck J (1992) Delayed interval delivery of two remaining fetuses in quintuplet pregnancy after embryo reduction: report and review of the literature. Acta Genet Med Gemellol 41: 49–52

    PubMed  Google Scholar 

  • Derom R, Derom C, Vlietinck R (1995 a) Placentation. In: Keith LG, Papiernik E, Keith DM, Luke B (eds) Multiple pregnancy. Parthenon, Lancaster, pp 113–132

    Google Scholar 

  • Derom R, Orlebeke J, Eriksson A, Thiery M (1995 b) The epidemiology of multiple births in Europe. In: Keith LG, Papiernik E, Keith DM, Luke B (eds) Multiple pregnancy. Parthenon, Lancaster, pp 145–162

    Google Scholar 

  • Devoe LD, Ware DJ (1995) Antenatal assessment of twin gestation. Semin Perinat 19: 413–423

    Article  CAS  Google Scholar 

  • Dickey RP, Olar TT, Curole DN, Taylor SN, Rye PH, Matulich EM (1990) The probability of multiple birth when multiple gestational sacs or viable embryos are diagnosed at first trimester ultrasound. Hum Reprod 5: 880–882

    PubMed  CAS  Google Scholar 

  • Evans Ml, Goldberg JD, Horenstein J et al. (1999) Selective termination for structural, chromosomal, and Mendelian anomalies: international experience. Am J Obstet Gynecol 181: 893–897

    Article  PubMed  CAS  Google Scholar 

  • Friedler S, Mordel N, Lipitz S, Mashiach S, Glezerman M, Laufer N (1994) Perinatal outcome of triplet pregnancies following assisted reproduction. J Assist Reprod Genet 9: 459–462

    Article  Google Scholar 

  • Gabbe SG, Turner LP (1997) Reproductive hazards of the American lifestyle: work during pregnancy. Am J Obstet Gynecol 176: 826–832

    Article  PubMed  CAS  Google Scholar 

  • Gleicher N, Campbell DP, Chan CL, Karande V, Rao R, Balin M, Pratt D (1995) The desire for multiple births in couples with infertility problems contradicts present practice patterns. Hum Reprod 10: 1079–1084

    PubMed  CAS  Google Scholar 

  • Gocke SE, Nageotte MP, Garite T, Towers CV, Dorcester W (1989) Management of the nonvertex second twin: primary cesarean section, exernal version, or primary breech extraction. Am J Obstet Gynecol 161: 111–114

    PubMed  CAS  Google Scholar 

  • Goldenberg RL, lams JD, Miodovnik M, Van Dorsten JP, Thurnau G, Bottoms S et al. (1996) The preterm prediction study: risk factors in twin gestations. Am J Obstet Gynecol 175: 1047–1053

    Article  PubMed  CAS  Google Scholar 

  • Goldfarb JM, Austin C, Lisbona H, Peskin B, Clapp M (1996) Cost-effectiveness of in vitro fertilization. Obstet Gynecol 87: 18–21

    Article  PubMed  CAS  Google Scholar 

  • Hecher K, Bilardo CM, Stigter RH et al. (2001) Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol 18: 564–570

    Article  PubMed  CAS  Google Scholar 

  • Johnson SP, Sebire NJ, Snijders RJ, Tunkel S, Nicolaides KH (1997) Ultrasound screening for anencephaly at 10-14 weeks of gestation. Ultrasound Obstet Gynecol 9: 14–16

    Article  PubMed  CAS  Google Scholar 

  • Kiely JL (1990) The epidemiology of perinatal mortality in multiple births. Bull NY Acad Med 66: 618–637

    CAS  Google Scholar 

  • Kol S, Levron J, Lewit N, Drugan A, Itskovitz-Eldor J (1993) The natural history of multiple pregnancies after assisted reproduction: is spontaneous fetal demise a clinically significant phenomenon?. Fertil Steril 60: 127–130

    PubMed  CAS  Google Scholar 

  • Koudstaal J, Bruinse HW, Heimerhorst FM, Vermeiden JP, Willemsen WN, Visser GH (2000) Obstetric outcome of twin pregnancies after in-vitro fertilization: a matched control study in four Dutch university hospitals. Reprod Hum 15: 935–940

    Article  CAS  Google Scholar 

  • Landy HJ, Nies BM (1995) The vanishing twin. In: Keith LG, Papiernik E, Keith DM, Luke B (eds) Multiple pregnancy. Parthenon, Lancaster, pp 59–72

    Google Scholar 

  • Lichtenstein P, Olausson PO, Källen AJB (1996) Twin births to mothers who are twins: a registry based study. BMJ 312: 879–881

    Article  PubMed  CAS  Google Scholar 

  • Liu S, Benirschke K, Scioscia AL, Mannino FL (1992) Intrauterine death in multiple gestation. Acta Genet Med Gemellol 41: 5–26

    PubMed  CAS  Google Scholar 

  • Luke B, Minogue J, Witter FR (1993) The role of fetal growth restriction and gestational age on length of hospital stay in twin infants. Obstet Gynecol 81: 949–953

    PubMed  CAS  Google Scholar 

  • Manzur A, Goldsman M, Stone SC, Frederick JL, Balmaceda JP, Asch RH (1995) Outcome of triplet pregnancies after assisted reproductive techniques: how frequent are the vanishing embryos?. Fertil Steril 63: 252–257

    PubMed  CAS  Google Scholar 

  • Meyers C, Adam R, Dungan J, Prenger V (1997) Aneuploidy in twin gestations: when is maternal age advanced?. Obstet Gynecol 89: 248–251

    Article  PubMed  CAS  Google Scholar 

  • Monteagudo A, Timor-Tritsch IE, Sharma S (1994) Early and simple determination of chorionic and amniotic type in multifetal gestations in the first fourteen weeks by high-frequency transvaginal ultrasonography. Am J Obstet Gynecol 170: 824–829

    PubMed  CAS  Google Scholar 

  • Neumann PK, Gharib SD, Weinstein MC (1994) The cost of successful delivery with in vitro fertilization. N Engl J Med 331: 239–243

    Article  PubMed  CAS  Google Scholar 

  • Newman RB, Hamer C, Miller MC (1989) Outpatient triplet management: a contempory review. Am J Obstet Gynecol 161: 547–555

    PubMed  CAS  Google Scholar 

  • Newman RB, Ellings JM (1995) Antepartum management of the multiple gestation: the case for specialized care. Semin Perinat 19: 387–403 Österreichisches Statistisches Zentralamt (1996) Demographisches Jahrbuch 1993/94/95. Österreichische Staatsdruckerei, Wien

    Article  CAS  Google Scholar 

  • Papiernik E, Keith LG (1990) The cost effectiveness of preventing preterm delivery in twin pregnancies. Acta Genet Med Gemellol 39: 361–369

    PubMed  CAS  Google Scholar 

  • Papiernik E (1991) Costs of multiple pregnancies. In: Harvey D, Bryan E (eds) The stress of multiple births. Multiple Birth Foundation, London, pp 22–34

    Google Scholar 

  • Porter TF, Dildy GA, Blanchard JR, Kochenour NK, Clark SL (1996) Normal values for amniotic fluid indexduring uncomplicated twin pregnancy. Obstet Gynecol 87: 699–702

    Article  PubMed  CAS  Google Scholar 

  • Rayburn WF, Lavin JP, Miodovnik M, Varner MW (1984) Multiple gestation: time interval between delivery of the first and second twins. Obstet Gynecol 63: 502–506

    PubMed  CAS  Google Scholar 

  • Reece EA, Yarkoni S, Abdalla M, Gabrielli S, Holford T, O’Connor TZ et al. (1991) A prospective longitudinal study of grwth in twin gestations compared with growth in singelton pregnancies. I. The fetal head et II. The fetal limbs. J Ultrasound Med 10: 439–443 et 445-450

    PubMed  CAS  Google Scholar 

  • Rodis JF, Vintzileos AM, Campbell WA, Deaton JL, Fumia F, Nochimson DJ (1987) Antenatal diagnosis and management of monoamniotic twins. Am J Obstet Gynecol 157: 1255–1257

    PubMed  CAS  Google Scholar 

  • Rodis JF, Vintzileos AM, Campbell WA, Nochimson DJ (1990):Intrauterine fetal growth in discordant twin gestations. J Ultrasound Med 9: 443–448

    PubMed  CAS  Google Scholar 

  • Rydhström H (1994) Discordant birthweight and late fetal death in like-sexed and unlike-sexed twin pairs: a population based study. Br J Obstet Gynaecol 101: 765–769

    Article  PubMed  Google Scholar 

  • Saacks CB, Thorp JM, Hendricks CH (1995) Cohort study of twinning in an academic health center: changes in management and outcome over fourty years. Am J Obstet Gynaecol 173: 432–439

    Article  CAS  Google Scholar 

  • Saari-Kemppainen A, Karjalainen O, Ylostalo P, Heinonen OP (1990) Ultrasound screening and perinatal mortality: controlled trial of systematic one-stage screening in pregnancy. The Helsinki ultrasound trial. Lancet 336: 387–391

    Article  PubMed  CAS  Google Scholar 

  • Schieve LA, Meikle SF, Ferre C, Peterson HB, Jeng G, Wilcox LS (2002).Low and very low birth weight in infants conceived with use of assisted reproductive technology. N Engl J Med 346: 731–737

    Article  PubMed  Google Scholar 

  • Sebire NJ, Noble PL, Odibo A, Malligiannis P, Nicolaides KH (1996a) Single uterine entry for genetic amniocentesis in twin pregnancies. Ultrasound Obstet Gynecol 7: 26–31

    Article  PubMed  CAS  Google Scholar 

  • Sebire NJ, Noble PL, Psarra A, Papapanagiotou G, Nicolaides KH (1996 b) Fetal karyotyping in twin pregnancies: selection of technique by measurement of fetal nuchal translucency. Br J Obstet Gynaecol 103: 887–890

    Article  PubMed  CAS  Google Scholar 

  • Sebire NJ, Snijders RJ, Hughes K, Sepulveda W, Nicolaides KH (1996c) Screening for trisomy 21 in twin pregnancies by maternal age and fetal nuchal translucency thickness at 10–14 weeks of gestation. Br J Obstet Gynaecol, 103: 999–1003

    Article  PubMed  CAS  Google Scholar 

  • Sebire NJ, Snijders RJ, Hughes K, Sepulveda W, Nicolaides KH (1997) The hidden mortality of monochorionic twin pregnancies. Br J Obstet Gynaecol 104: 1203–1207

    Article  PubMed  CAS  Google Scholar 

  • Sepulveda W, Sebire NJ, Hughes K, Kalogeropoulos A, Nicolaides KH (1997) Evolution of the lambda or twin-chorionic peak sign in dichorionic twin pregnancies. Obstet Gynecol 89: 439–441

    Article  PubMed  CAS  Google Scholar 

  • Sherman SJ, Kovacs BW, Medearis AL, Bear MB, Paul RH (1992) Nonstress test assessment of twins. J Reprod Med 37: 804–808

    PubMed  CAS  Google Scholar 

  • Spellacy WN, Handler A, Ferre C (1990) A case-control study of 1253 twin pregnancies from a 1982–1987 perinatal data base. Obstet Gynecol 75: 168–171

    PubMed  CAS  Google Scholar 

  • Stone J, Berkowitz (1996) Mulitple pregnancy reduction and selective termination. In Gall SA (ed) Multiple pregnancy and delivery. Mosby, St. Louis, pp 181–197

    Google Scholar 

  • Sutcliffe AG, Sebire NJ, Pigott AJ, Taylor B, Edwards PR, Nicolaides KH (2001). Outcome for children born after in utero laser ablation therapy for severe twin-to-twin transfusion syndrome. Bjog 108: 1246–1250

    PubMed  CAS  Google Scholar 

  • Tong S, Caddy D, Short RV (1997) Use of dizygotic to monozygotic twinning ratio as a measure of fertility. Lancet 439: 843–845

    Article  Google Scholar 

  • van Gemert MJ, Umur A, Tijssen JG, Ross MG (2001) Twin-twin transfusion syndrome: etiology, severity and rational management. Curr Opin Obstet Gynecol 13: 193–206

    Article  PubMed  Google Scholar 

  • Vayssiere CF, Heim N, Camus EP, Hillion YE, Nisand IF (1996) Determination of chorionicity in twin gestations by high-frequency abdominal ultrasonography: counting the layers of the dividing membrane. Am J Obstet Gynecol 175: 1529–1533

    Article  PubMed  CAS  Google Scholar 

  • Wenstrom KD, Syrop CH, Hammitt DG, VanVoorhis BJ (1993) Increased risk of monochorionic twinning associated with assisted reproduction. Fertil Steril 60: 510–514

    PubMed  CAS  Google Scholar 

  • Wilcox LS, Kiely JL, Melvin CL, Martin MC (1996) Assisted reproductive technologies: estimates of their contribution to multiple births and newborn hospital days in the United States. Fertil Steril 65: 361–366

    PubMed  CAS  Google Scholar 

  • Yaron Y, Bryant-Greenwood PK, Dave N, Moldenhauer JS, Kramer RL, Johnson MP, Evans Ml (1999) Multifetal pregnancy reductions of triplets to twins: comparison with nonreduced triplets and twins. Am J Obstet Gynecol 180: 1268–1271

    Article  PubMed  CAS  Google Scholar 

  • Zikulnig L, Hecher K, BregenzerT, Baz E, Hackeloer BJ (1999) Prognostic factors in severe twin-twin transfusion syndrome treated by endoscopic laser surgery. Ultrasound Obstet Gynecol 14: 380–387

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. E. Krampl
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Hirtenlehner
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Strohmer
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Ehem. Direktor der Universitätsfrauenklinik am Inselspital Bern, Ahornweg 4, 3122, Kehrsatz, Schweiz

    Henning Schneider

  2. Abteilung für Geburtshilfe und Gynäkologie, Universitätsklinik für Frauenheilkunde, Währinger Gürtel 18-20, 1090, Wien, österreich

    Peter Husslein

  3. Abteilung für Perinatalmedizin Frauenklinik und Poliklinik des Klinikums rechts der Isar, Universität der Technischen Universität München, Ismaninger Straße 22, 81675, München

    Karl-Theo M. Schneider

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Krampl, E., Hirtenlehner, K., Strohmer, H. (2004). Mehrlinge. In: Schneider, H., Husslein, P., Schneider, KT.M. (eds) Die Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18574-8_42

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18574-8_42

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30522-4

  • Online ISBN: 978-3-642-18574-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation