One case of monoamniotic twin pregnancy with cord entanglement and fetus survival at 32+4 weeks after successful medical amnioreduction and intensive ultrasound surveillance.

Park, Hea Ree; Kim, Hyun Chul; Moon, Myoung Jin; Jang, Sung Woon; Kang, Suk Ho; Ahn, Eun Hee; Baek, Min Jung

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(10):1153-1158.
Published online October 1, 2008.

One case of monoamniotic twin pregnancy with cord entanglement and fetus survival at 32+4 weeks after successful medical amnioreduction and intensive ultrasound surveillance.

Hea Ree Park, Hyun Chul Kim, Myoung Jin Moon, Sung Woon Jang, Suk Ho Kang, Eun Hee Ahn, Min Jung Baek

Department of Obstetrics and Gynecology, Pochon University, Bundang Cha Women's Hospital, Seongnam, Korea. heryjune@naver.com

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.

Key Words: Monoamniotic twin, Cord entanglement, Amnioreduction, Intensive surveillance