Evidence map›Paper›PMID 40406686›Full record

ReviewMaternal-fetal medicine (Wolters Kluwer Health, Inc.)2022

Selective Fetal Growth Restriction in Monochorionic Diamniotic Twins: Diagnosis and Management.

Alicia Mazer Zumaeta, María Mar Gil, Miguel Rodríguez-Fernández, Pilar Carretero, José Hector Ochoa, María Cristina Casanova, Francisca Sonia Molina

Erratum issuedAbstract readReview
In one paragraph

Review in Maternal-fetal medicine (Wolters Kluwer Health, Inc.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Prognostic performance of umbilical artery Doppler-based classification in monochorionic pregnancies complicated by selective fetal growth restriction.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Alicia Mazer ZumaetaDepartment of Obstetrics and Gynecology, Hospital Universitario Clínico San Cecilio, Granada 18016, Spain.
María Mar GilObstetrics and Gynecology Department, Hospital Universitario de Torrejón, Torrejón de Ardoz 28223, Madrid, Spain.
Miguel Rodríguez-FernándezObstetrics and Gynecology Department, Hospital Universitario de Torrejón, Torrejón de Ardoz 28223, Madrid, Spain.
Pilar CarreteroSchool of Medicine, Universidad Francisco de Vitoria, Pozuelo de Alarcón 28223, Madrid, Spain.
José Hector OchoaDiagnus SA, Prenatal Diagnosis and Fetal Medicine Center, Córdoba 5000, Argentina.
María Cristina CasanovaObstetrics and Gynecology Department, Hospital Universitario de Torrejón, Torrejón de Ardoz 28223, Madrid, Spain.
Francisca Sonia MolinaDepartment of Obstetrics and Gynecology, Hospital Universitario Clínico San Cecilio, Granada 18016, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Selective fetal growth restriction (sFGR) is a severe condition that complicates 10% to 15% of all monochorionic diamniotic (MCDA) twin pregnancies. Pregnancies complicated with sFGR are at high risk of intrauterine demise or adverse perinatal outcome for the twins. Three clinical types have been described according to the umbilical artery (UA) Doppler pattern observed in the smaller twin: type I, when the UA Doppler is normal; type II, when there is persistent absent or reversed end-diastolic blood flow in the UA Doppler; and type III, when there is intermittent absent and/or reversed end-diastolic blood flow in the UA Doppler. Clinical evolution and management options mainly depend on the type of sFGR. Type I is usually associated with a good prognosis and is managed conservatively. There is no consensus on the management of types II and III, but in earlier and more severe presentations, fetal interventions such as selective laser photocoagulation of placental anastomoses or selective fetal cord occlusion of the smaller twin may be considered. This review aims to provide updated information about the diagnosis, evaluation, follow-up, and management of sFGR in MCDA twin pregnancies.

Indexed as

Birthweight discordanceFetal therapyMonochorionic diamniotic twinsPlacentaSelective fetal growth restrictionTwins

Identifiers

PMID40406686
PMCPMC12087895

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.