Open AccessMonochorionic monoamniotic twins—the most precarious of twin pregnancies
Author(s) -
Dørum Anne,
Nesheim BrittIngjerd
Publication year - 1991
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349109007895
Subject(s) - medicine , obstetrics , monochorionic twins , conjoined twins , twin pregnancy , gestation , perinatal mortality , pregnancy , fetus , biology , genetics
Monochorionic monoamniotic twins have a high perinatal mortality rate. Death usually occurs before 24 weeks' gestation, mainly because of cord entanglement, prematurity, congenital anomalies or twin‐to‐twin transfusion. These possibilities should be taken into account when twin pregnancies are detected at the ultrasound screening between 17 and 20 weeks' pregnancy. We report here a case where monochorionic monoamniotic twins were born at 34 weeks, with massive cord entanglement and we describe the antenatal care at our clinic.