Selective survival of only the healthy fetus following prenatal diagnosis of thalassaemia major in binovular twin gestation

Selective feticide is the procedure of choice when, in twin binovular pregnancy, only one of the fetuses is shown to be affected. As the probabilities for this condition are almost 1:2 when the genetic disease is due to homozygosity for two autosomal recessive genes, the problem is expected to occur frequently among the ever increasing number of couples seeking prenatal diagnosis of thalassaemia and the haemoglobinopathies. The present report is the first case of this condition and the ninth in the overall medical literature.

[1]  J. Milunsky,et al.  Genetic Disorders and the Fetus , 1988 .

[2]  C. Rodeck,et al.  Selective feticide of the affected twin by fetoscopic air embolism , 1982, Prenatal diagnosis.

[3]  C. Rodeck,et al.  Antenatal diagnosis of haemoglobinopathies by Biorex chromatography of haemoglobin , 1982, British journal of haematology.

[4]  M. Somerville Selective birth in twin pregnancy. , 1981, The New England journal of medicine.

[5]  U. Chitkara,et al.  Selective birth in twin pregnancy with discordancy for Down's syndrome. , 1981, The New England journal of medicine.

[6]  P. Basset,et al.  Prenatal Diagnosis of Hemoglobinopathies: Comparison of the Results Obtained by Isoelectric Focusing of Hemoglobins and by Chromatography of Radioactive Globin Chains , 1980 .

[7]  J. Simpson,et al.  Genetic amniocentesis in twin gestations. , 1980, American journal of obstetrics and gynecology.

[8]  R. Terinde,et al.  Zwillingsschwangerschaft mit freier Trisomie 21 eines Kindes; Sectio parva mit Entfernung des kranken und spätere Geburt des gesunden Kindes , 1980 .

[9]  G. B. Petersen,et al.  Amniocentesis in Twin Pregnancies Under Guidance of the Glucose Concentration in Amniotic Fluid , 1980, Acta obstetricia et gynecologica Scandinavica.

[10]  B. Alter,et al.  Prenatal diagnosis of hemoglobinopathies. , 1979, Clinics in perinatology.

[11]  D. Cox,et al.  Counseling problems when twins are discovered at genetic amniocentesis , 1979, Clinical genetics.

[12]  F. Mitelman,et al.  CARDIAC PUNCTURE OF FETUS WITH HURLER'S DISEASE AVOIDING ABORTION OF UNAFFECTED CO-TWIN , 1978, The Lancet.

[13]  J. Philip,et al.  Prenatal karyotyping of twins by ultrasonically guided amniocentesis. , 1975, American journal of obstetrics and gynecology.

[14]  J. Clegg,et al.  Globin Synthesis in Thalassaemia: An in vitro Study , 1965, Nature.

[15]  D. Loukopoulos,et al.  Prenatal diagnosis of thalassaemia by haemoglobin chromatography on biorex an evaluation of the method , 1984, Prenatal diagnosis.

[16]  D. Loukopoulos,et al.  Prenatal diagnosis of hemoglobinopathies in twin pregnancies by double simultaneous fetoscopy , 1983 .

[17]  C. Rodeck,et al.  Sampling pure fetal blood in twin pregnancies by fetoscopy using a single uterine puncture , 1981, Prenatal diagnosis.