Colorado Fetal Care Center 2017 Overview and Outcomes CIMFH-160082376-2019-12-CFCC Outcomes Brochure-FIN | Page 19

Pre-term delivery after laser photocoagulation for twin-twin transfusion syndrome — A North American Fetal
Therapy Network Study
American Journal of Obstetrics and Gynecology MFM, March 2019
Despite steady improvements in survival, fetuses treated for twin-twin transfusion syndrome with laser
photocoagulation are often born premature, which puts them at risk for morbidity and even death. To investigate factors
and indications that may influence timing of delivery, we conducted a retrospective review of a total of 847 pregnancies
and found that these premature deliveries are primarily the result of spontaneous labor, premature rupture of
membranes and complications involving the donor fetus. Placental abruption was a frequent complication that resulted
in early delivery. We’re now directing future research toward prolonging gestation after laser photocoagulation.
Evaluating fetal telecardiology in a medically underserved area
Obstetric Gynecology, November 2019
Initiated in 2015, our fetal telecardiology program serves families in Grand Junction, Colorado, 243 miles and two
mountain passes away from our Anschutz Medical Campus. Thirty-seven months and 455 examinations later, we
evaluated the program in five domains: education of sonographers before initiation; process and efficiency; patient
satisfaction; economic effect; and accuracy. The results are clear: The program is feasible, empowers local care providers,
correctly risk stratifies fetuses with congenital heart disease, provides strong economic advantages and the benefit of
timely, face-to-face consultation without travel.
Colorado Fetal Care Center 2019
19