<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542024000100047</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v33.i1.26665</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[TRAP sequence - A case of successful conservative management]]></article-title>
<article-title xml:lang="pt"><![CDATA[Sequência TRAP - Um caso de sucesso com abordagem conservadora]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varejão]]></surname>
<given-names><![CDATA[Ana Mesquita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dória]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Laranjo]]></surname>
<given-names><![CDATA[Mafalda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Inês Sarmento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano Department of Gynaecology and Obstetrics]]></institution>
<addr-line><![CDATA[Senhora da Hora ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>47</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542024000100047&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542024000100047&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542024000100047&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Twin reversed arterial perfusion (TRAP) is a rare sequence that complicates monochorionic multiple pregnancies. This condition affects both fetuses - the acardiac twin and the pump twin. This report presents the case of a monochorionic multiple pregnancy complicated by TRAP diagnosed in the first trimester. After clarifying the couple and multidisciplinary discussion, conservative management was chosen because no genetic abnormalities or complications were identified in the normal twin development throughout pregnancy, and the acardiac twin stopped growing at 16 weeks, resulting in a vaginal term delivery of a healthy baby. In utero intervention is currently the first-line treatment option in these cases, but several studies have reported the benefits of an expectant approach. The optimal approach has not yet been established.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A sequência TRAP (twin reversed arterial perfusion) é uma complicação rara das gestações múltiplas monocoriónicas. Esta condição tem consequências para ambos os fetos - o feto acárdico e o feto &#8220;bomba&#8221;. O presente caso refere-se a uma gestação gemelar monocoriónica complicada por TRAP diagnosticada no primeiro trimestre. Após discussão multidisciplinar eesclarecimento do casal, foi decidida a abordagem conservadora por não se verificarem anomalias genéticas ou outras complicações no desenvolvimento do feto normal e o desenvolvimento do feto ter sido interrompido às 16 semanas de gestação. A gravidez resultou num parto eutócico a termo. Apesar de não existir ainda consenso quanto à abordagem ideal, vários estudos tê, demonstrado a validade das abordagens conservadoras em detrimento da intervenção in utero.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[acardiac twin]]></kwd>
<kwd lng="en"><![CDATA[monochorionic]]></kwd>
<kwd lng="en"><![CDATA[multiple pregnancy]]></kwd>
<kwd lng="en"><![CDATA[pump twin]]></kwd>
<kwd lng="en"><![CDATA[TRAP sequence]]></kwd>
<kwd lng="pt"><![CDATA[feto acárdico]]></kwd>
<kwd lng="pt"><![CDATA[feto bomba]]></kwd>
<kwd lng="pt"><![CDATA[gravidez multipla]]></kwd>
<kwd lng="pt"><![CDATA[monocoriónica]]></kwd>
<kwd lng="pt"><![CDATA[sequência TRAP]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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