Management of Complicated Monochorionic Twin Gestations: An Evidence-Based Protocol
Kavita Narang1, Victoria A N Novoa2, Layan Alrahmani3
1MFM Fellow.
Obstetrical & Gynecological Survey
|September 29, 2021
Summary
Monochorionic (MC) twins face high risks from placental connections, leading to complications like twin-twin transfusion syndrome. Early ultrasound and consistent fetal surveillance from 16 weeks are crucial for timely management and improved outcomes.
Area of Science:
- Perinatology
- Maternal-Fetal Medicine
- High-Risk Obstetrics
Background:
- Monochorionic (MC) twins share a placenta, creating vascular connections prone to complications.
- Conditions like twin-twin transfusion syndrome and selective intrauterine growth restriction pose significant fetal risks.
- Monoamniotic gestations within MC pregnancies present unique challenges, including cord entanglement.
Purpose of the Study:
- To review evidence-based management strategies for complicated monochorionic twin gestations.
- To propose a standardized surveillance approach for these high-risk pregnancies.
Main Methods:
- Review of existing evidence on the management of specific MC twin complications.
- Structured summarization of management protocols for clarity.
Main Results:
- Identifies key complications associated with monochorionic twin pregnancies.
- Summarizes management approaches for various MC twin complications.
Conclusions:
- Early pregnancy ultrasound (10-13 weeks) is vital for diagnosing and characterizing twin pregnancies.
- Initiating fetal surveillance at 16 weeks' gestation and continuing until delivery is recommended for improved MC twin outcomes.
More Related Videos
Related Concept Videos
01:22Diabetes Mellitus: Type 2 and Gestational
3.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
3.4K
01:29Chronic Pancreatitis II: Collaborative Care
143
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
143