DIGITALIZATION OF THE MOTHER IN TREATING HYDROPS-FETALIS IN MONOCHORIONIC TWIN WITH EBSTEINS-ANOMALY - CASE-REPORT

Hydrops fetalis thought to be due to Ebstein's anomaly was seen at 22 weeks' gestation in one of two fetuses with a monochorionic placenta. Hydrops was treated with maternal digitalization and resolved by the 2 8th week of gestation. Hydrops did not recur while maternal digitaliza tion continued. A clinical diagnosis of twin-to-twin transfusion syndr ome required termination of the pregnancy at 33 weeks of gestation. Th e twin with Ebstein's anomaly died 22 hours after birth. The other twi n survived and was normal at 19 months of age. Thus, administration of digitalis to the mother controlled hydrops fetalis in one fetus, and ultimately led to the survival of the healthy infant.