Related Experiment Videos
The monoamniotic twin: a riskful event
1Department of Obstetrics and Gynaecology, Saint Joseph Hospital, Veldhoven, The Netherlands.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|September 2, 1999
Summary
Monoamniotic twins face high perinatal mortality due to cord accidents. Management strategies lack consensus, especially regarding delivery timing and mode after 32 weeks gestation.
Area of Science:
- Perinatology
- Maternal-Fetal Medicine
- Obstetrics
Background:
- Monoamniotic twins share an amniotic sac, increasing risks of umbilical cord entanglement and compression.
- Umbilical cord accidents are a significant cause of perinatal mortality in these high-risk pregnancies.
Observation:
- Two cases of monoamniotic twin pregnancies with third-trimester fetal demise due to cord accidents were observed.
- Literature review reveals conflicting data on optimal obstetric management and delivery timing.
Findings:
- There is no established consensus on the best obstetric management for monoamniotic twins.
- Fatal cord complications and the safety of vaginal delivery after 32 weeks gestation remain debated.
Implications:
- Further research, including a dedicated case registry, is recommended to clarify management protocols.
- Improved understanding may reduce perinatal mortality in monoamniotic twin gestations.