Management of monochorionic monoamniotic twin pregnancy: literature review and case report

Guevara E.G.; Bernuy L.A.; Acosta J.M. · Revista Peruana de Ginecologia y Obstetricia (2022) · DOI: 10.31403/rpgo.v68i2434

Resumen

In view of the presentation of a case of monochorionic monoamniotic twin pregnancy, the literature on its diagnosis and management was reviewed by electronic search in the Medline, OVID, Cochrane, and PubMed databases between 1966 and 2019. The key words used in the inquiry were: pregnancy, twins, monoamniotic, cord entanglement. There is a high risk of sudden fetal death in monoamniotic twins caused by entanglement of the umbilical cords, so timely diagnosis of chorionicity and amnionicity in twin pregnancy by ultrasonography may provide guidance for close fetal surveillance and thus improve obstetric outcome. © The Author(s) 2022.