Congenital Malformations Associated With a Single Umbilical Artery in Twin Pregnancies

Sarah E Mitchell1, Karen Reidy2, Fabricio Da Silva Costa1

  • 1Division of Maternity Services,The Royal Women's Hospital,Melbourne,Victoria,Australia.

A single umbilical artery (SUA) was identified in 1.5% of twin pregnancies. The presence of a SUA in a twin pregnancy was associated with a 50% incidence of fetal anomalies, many of them complex and severe. The embryology and pathophysiological mechanisms associated with a SUA are reviewed. Aneuploidy is relatively common and should be considered, particularly in the presence of associated anomalies. Fetal growth restriction is frequent and preterm delivery is common.

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