Evidence map›Paper›PMID 40786434›Full record

ArticleCureus2025

Stillbirth Without Viability: An Intrapartum Diagnosis of Twin Reversed Arterial Perfusion (TRAP) Sequence in Monochorionic Twin Pregnancy.

Sujata Siwatch, Rohan Sodhi, Gaurav Khastgir, Pooja Sikka

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sujata SiwatchObstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Rohan SodhiObstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Gaurav KhastgirObstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Pooja SikkaObstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Twin reversed arterial perfusion (TRAP) sequence is a rare complication of monochorionic twin pregnancies, characterised by a nonviable acardiac twin perfused by a structurally normal "pump" twin. We report a case of a 33-year-old woman, G4P2012, who presented at 29 weeks in advanced labour with a history of inadequate antenatal care. She delivered a live male neonate, followed by the unexpected delivery of an intrauterine mass initially suspected to be a fibroid. Further evaluation revealed the mass to be an acardiac twin, and placental examination confirmed monochorionic diamniotic placentation, establishing the diagnosis of TRAP sequence. This case highlights the critical importance of early and detailed antenatal ultrasonography in twin pregnancies. It also raises important questions regarding the classification of stillbirths in the context of severe congenital anomalies incompatible with life.

Indexed as

acardiac twincomplicated twin pregnancymonochorionic diamnionic twinpump twintwin gestationtwin pregnancy complicationsultrasonography in twin pregnancy

Identifiers

PMID40786434
PMCPMC12331543

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.