| One case of monoamniotic twin pregnancy with cord entanglement and fetus survival at 32+4 weeks after successful medical amnioreduction and intensive ultrasound surveillance. |
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Hea Ree Park, Hyun Chul Kim, Myoung Jin Moon, Sung Woon Jang, Suk Ho Kang, Eun Hee Ahn, Min Jung Baek |
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Department of Obstetrics and Gynecology, Pochon University, Bundang Cha Women's Hospital, Seongnam, Korea. heryjune@naver.com |
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| Abstract |
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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. |
| Keywords:
Monoamniotic twin; Cord entanglement; Amnioreduction; Intensive surveillance |
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