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Management of Twin Pregnancies by Umbilical and Fetal Oscillation in the Mare
K.N. Beavers, C.A. Burden, A.O...
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While the use of ultrasonography has reduced twin pregnancies as a major cause of abortion in the mare, diagnosis of twins past the mobility stage still occurs and requires special management techniques. After cessation of the mobility phase, and prior to day 60, options for twin management include ultrasound-guided manual manipulation (ablation or membrane damage), transvaginal fetal puncture (TVFP) and fetal termination by oscillation. Both manual manipulation and TVFP are not always effective and may be difficult or require special equipment. Fetal termination by oscillation, which either alters umbilical blood flow or dislocates the fetus from the umbilicus, is possible between days 45 and 50 of gestation. [...]
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