PEDIATRICS Vol. 49 No. 1 January 1972, pp. 112-116
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The Fetoplacental Circulation during Parturition Illustrated by the Interfetal Transfusion Syndrome

Joachim G. Klebe M.D.1 and Carl Joh. Ingomar M.D.1

1 The Royal Maternity Hospital, Department B, The University Department for Newborn Infants, Rigshospitalet, Copenhagen, Denmark

On the basis of cases reported in the literature and on three sets of twins observed by the authors, it is discussed why the volumes of circulating blood may differ essentially in monochorionic twins in whom the interfetal transfusion syndrome is in evidence. It is suggested that the observed differences may be due to some placental transfusion during and after birth, and also that the technique used for clamping of the umbilical cord is of significance. It is concluded that the choice of techniques to be used for the clamping of the umbilical cord is of importance whenever the interfetal transfusion syndrome is suspected.




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K.L. Tan, R. Tan, S.H. Tan, and A.M. Tan
The Twin Transfusion Syndrome: Clinical Observations on 35 Affected Pairs
Clinical Pediatrics, February 1, 1979; 18(2): 111 - 114.
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