Resumen

VILLALOBOS, Noren  y  LOPEZ, Carol. Síndrome del gemelo muerto. Rev Obstet Ginecol Venez [online]. 2002, vol.62, n.1, pp.11-15. ISSN 0048-7732.

Objective: To know the casuistic, evolution and management of the dead twin syndrome. Method: Retrospective and analytic study of 1 592 cases of patient with twin pregnancies, with one of the fetuses dead in the period 1984 - 1999. Setting: Obstetric Division of the University Hospital of Maracaibo, Maternity "Dr. Armando Castillo Plaza" Maracaibo. Venezuela. Results: There were 37 cases with one of the fetuses dead. Incidence 2.32 % corresponding to 1 case for each 43 twin pregnancies. Mean maternal age 23 years, 43.24% primigravida; 61.76 % preterm 61.7 % controlled; 62.16 % of the births were normal deliveries. The placenta was monocorial-biamniotic in 7 cases (36.84 %). The Apgar at 1 minute was 8 to 10 points in 54.05 %, with 2.9 % of congenital malformations. Maternal morbidity 11.7 % and cero mortality. Conclusions: It is necessary the evaluation of each pregnancy in order to prevent the maternal fetal and neonatal complications of this syndrome. The childbirth should be vaginal, with study of membranes and placenta.

Palabras clave : Dead fetus; Twin pregnancy..