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Original Article

Monochorionic monoamniotic twins—the most precarious of twin pregnancies

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Pages 381-383 | Received 07 Feb 1991, Accepted 15 Feb 1991, Published online: 03 Aug 2009
 

Abstract

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.

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