Status:

RECRUITING

Role of Cerebroplacental Ratio Discordance at 16-20 Weeks in Predicting Monochorionic Twin Pregnancies' Specific Complications

Lead Sponsor:

Ain Shams Maternity Hospital

Conditions:

Monochorionic Twins

Cerebroplacental Ratio

Eligibility:

FEMALE

Brief Summary

The purpose of this study is to evaluate the predictive value of CPR discordance at 16-20 weeks in MCDA twin pregnancies in predicting monochorionic-specific complications such as TTTS, TAPS, sFGR and...

Detailed Description

Monochorionic (MC) twin pregnancies are at a higher risk of perinatal morbidity and mortality because of the risk of developing unique complications. These include twin to twin transfusion syndrome (T...

Eligibility Criteria

Inclusion

  • Aged 18 years or more and able to consent.
  • Monochorionic Diamniotic twin pregnancy.
  • Discordant inter-twin cerebroplacental ratio at 16-20 weeks of gestation.

Exclusion

  • Fetal structural malformations or chromosomal abnormalities in any of the twins as detected by anomaly scan antenatally or neonatal examination postnatally (chromosomal abnormalities and some congenital malformations can interfere with normal fetal growth).
  • Identified infectious etiologies detected during immediate postnatal examination or during pregnancy (fetal infections can cause FGR ,usually symmetric type particularly if they occur in early gestation).
  • Referral after development of Twin to twin transfusion syndrome, twin anemia polycythemia sequence or selective fetal growth restriction.
  • Single fetal demise at the time enrollment in the study.
  • Conjoint twins.

Key Trial Info

Start Date :

March 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

September 15 2026

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT06935422

Start Date

March 1 2025

End Date

September 15 2026

Last Update

September 5 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Ain shams maternity hospital

Cairo, Egypt