One case of monoamniotic twin pregnancy with cord entanglement and fetus survival at 32+4 weeks after successful medical amnioreduction and intensive ultrasound surveillance.
- Author:
Hea Ree PARK
1
;
Hyun Chul KIM
;
Myoung Jin MOON
;
Sung Woon JANG
;
Suk Ho KANG
;
Eun Hee AHN
;
Min Jung BAEK
Author Information
1. Department of Obstetrics and Gynecology, Pochon University, Bundang Cha Women's Hospital, Seongnam, Korea. heryjune@naver.com
- Publication Type:Case Report
- Keywords:
Monoamniotic twin;
Cord entanglement;
Amnioreduction;
Intensive surveillance
- MeSH:
Cesarean Section;
Female;
Fetal Death;
Fetus;
Humans;
Perinatal Mortality;
Pregnancy;
Pregnancy, Twin
- From:Korean Journal of Obstetrics and Gynecology
2008;51(10):1153-1158
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Monoamniotic twin pregnancies are relatively rare, but perinatal mortality is high about 30-70%. The major cause of fetal death is cord accident, congenital anomalies, twin-twin transfusion syndrome, and intrauterine growth restriction. Especially cord entanglement occurs; perinatal mortality is about 50%. So the active management of monoamniotic twins to reduce the complication of cord entanglement is important. This is a case of monoamniotic twin pregnancy with cord entanglement and both fetuses survival by elective cesarean section at 32+4 weeks after medical amnioreduction and intensive fetal surveillance.
