One case of monoamniotic twin pregnancy without cord entanglement and both fetus survival.

Park, Ki Jeong; Han, Mi Young; Park, Hee Jeong; Kim, Eun Jo; Ahn, Hyoun Sook

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(4):1017-1022.
Published online April 1, 2005.

One case of monoamniotic twin pregnancy without cord entanglement and both fetus survival.

Ki Jeong Park, Mi Young Han, Hee Jeong Park, Eun Jo Kim, Hyoun Sook Ahn

Department of Obstetrics and Gynecology, Ilsin Christian Hospital, Pusan, Korea. morning1010@daum.net

Abstract

Monoamniotic twin pregnancies are relatively rare, occuring in 1 percentage. But perinatal mortality is 50-60 percentage. The high mortality rate has been attributed to preterm delivery, cord entanglement, twin-to-twin transfusion syndrome, intrauterine growth retardation and congenital anomalies. However, the desirable management plan of the monoamniotic twin pregnancies is still not established and there are controversies regarding the proper antepartum care of monoamniotic twins and the optimal timing and mode of delivery. We have experienced one case of monoamniotic twin without cord entanglement and both fetuses survival by cesarean section at 36+3 weeks, is reported with a brief review of the literatures.

Key Words: Monoamniotic twin, Cord entanglement