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Infertility therapies have markedly increased the incidence of multiple pregnancies and concomitantly monozygotic twinning. In utero death of one monozygotic twin predisposes the survivor to death and serious morbidity from hemodynamic collapse, thromboplastins, or microemboli. The optimal management of such cases, however, is unclear.

Making Decisions When No Good Choices Exist: Delivery of the Survivor after Intrauterine Death of the Co-Twin in Monochorionic Twin Pregnancies