Monoamniotic Twin Pregnancy

Lumme, Riitta; Saarikoski, Seppo

doi:10.1017/s0001566000006309

Cited by 23 publications

(6 citation statements)

References 13 publications

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“…Perinatal mortality was reported to be 28-47% and 32% by Lumme and Saarikoski, and Demaria et al, respectively 3, 4. This high mortality was known to be caused by prematurity, twin to twin transfusion syndrome, congenital anomalies, intrauterine growth restriction, and umbilical cord entanglement 5, 6.…”

Section: Discussionmentioning

confidence: 98%

Monoamniotic Twins with One Fetal Anencephaly and Cord Entanglement Diagnosed with Three Dimensional Ultrasound at 14 Weeks of Gestation

Son²,

Jang³

et al. 2011

Int. J. Med. Sci.

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A 29-year-old pregnant woman with parity 0-0-0-0 was diagnosed with monoamniotic twin pregnancy discordant for anencephaly at 14 weeks gestation. Umbilical cord entanglement, which is an important cause of fetal death in monoamniotic twins, was confirmed by three-dimensional ultrasound. Cesarean section was performed at 34 weeks of gestation, and the normal newborn infant was discharged without any complications. We report a case of monoamniotic twin pregnancy discordant for anencephaly and diagnosed with cord entanglement by three-dimensional ultrasound at 14 weeks of gestation, and now report it along with a literature review.

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Section: Discussionmentioning

confidence: 98%

Monoamniotic Twins with One Fetal Anencephaly and Cord Entanglement Diagnosed with Three Dimensional Ultrasound at 14 Weeks of Gestation

Son²,

Jang³

et al. 2011

Int. J. Med. Sci.

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“…Although uncommon, monoamniotic twins are associated with high antenatal and perinatal mortality. In 1986, Lumme et al reported a perinatal mortality rate of 28-47% (2). However, in the article by Allen et al (3), the perinatal mortality was 10% of all babies in their case series and 12.5% in the literature review.…”

Section: Complicationsmentioning

confidence: 96%

“…In 1986, Lumme et al. reported a perinatal mortality rate of 28–47% (2). However, in the article by Allen et al.…”

Section: Complicationsmentioning

confidence: 99%

Monoamniotic twins: diagnosis and management

2002

Acta Obstet Gynecol Scand

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Monoamniotic twins, although uncommon, are associated with high antenatal and perinatal morbidity and mortality. The associated complications include cord entanglement, congenital anomalies, twin-twin transfusion syndrome, intrauterine growth retardation and preterm delivery. A thorough literature search using Medline and OVID was performed to look at the current diagnostic criteria for monoamniotic twins and the subsequent management. Specific criteria are employed during ultrasonography for making the diagnosis. Different opinions in the literature exist regarding the proper antepartum monitoring of monoamniotic twins, the optimal timing and the mode of delivery. Generally, it is agreed that there should be regular antepartum fetal heart trace monitoring and serial sonograms with umbilical artery Doppler flow study. Most studies advocate delivery at 32 weeks to reduce the risk of intrauterine deaths related to cord entanglement. Cesarean section is the preferred mode of delivery even though cases of successful vaginal delivery have been reported.

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“…In addition, twintwin transfusion syndrome is a common cause of fetal death in monoamniotic twin gestations [5]. In the current case, no superficial vessel anastomosis was recognized in the placenta.…”

Section: Discussionmentioning

confidence: 51%

Iatrogenic Monoamniotic Twin Gestation with Progressive Twin-Twin Transfusion Syndrome

et al. 1999

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Objective: Intentional puncture of the membrane has been reported to be a promising new method for the management of twin-twin transfusion syndrome. Case Report: Treatment of twin-twin transfusion syndrome with serial amniocenteses resulted in unintentional puncture of the dividing membrane at 24 weeks of gestation. Fetal growth discordance increased, and twin-twin transfusion did not improve following the puncture. Intrauterine death of both fetuses at 27 weeks of gestation occurred. Conclusion: Amniotic septostomy for the treatment of twin-twin transfusion sydnrome should be performed with serious consideration.

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Monoamniotic Twin Pregnancy

Cited by 23 publications

References 13 publications

Monoamniotic Twins with One Fetal Anencephaly and Cord Entanglement Diagnosed with Three Dimensional Ultrasound at 14 Weeks of Gestation

Monoamniotic Twins with One Fetal Anencephaly and Cord Entanglement Diagnosed with Three Dimensional Ultrasound at 14 Weeks of Gestation

Monoamniotic twins: diagnosis and management

Iatrogenic Monoamniotic Twin Gestation with Progressive Twin-Twin Transfusion Syndrome

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