Monochorionic Monoamniotic Twin Pregnancy: Shared but Not Equal.

Neoreviews

Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.

Published: March 2024

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http://dx.doi.org/10.1542/neo.25-3-e169DOI Listing

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Twin pregnancy is considered high-risk pregnancy because of its various effects on maternal and fetal physiology. Twin pregnancy can be dizygotic or monozygotic, the latter being less common. Depending upon the period of separation of an embryo, monozygotic twins can share amniotic cavity and placenta with the monochorionic monoamniotic form being the least common type.

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  • - The TRAP (Twin Reversed Arterial Perfusion) sequence occurs in monochorionic pregnancies where one fetus is healthy and the other is non-viable, leading to risks like high-output cardiac failure in the viable twin.
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Introduction: Twin pregnancy is associated with an increased risk of perinatal morbidity. Besides, if intrauterine death of a single twin occurs, it increases the morbidity of the surviving co-twin perinatally and postnatally.

Aim:  The objective of this study was to determine the incidence of single intrauterine fetal death (SIUFD) in a twin pregnancy and fetal outcome defined in dimensions according to the complications in the surviving co-twin.

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