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Monochorionic monoamnionic twins: vaginal delivery
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F. Reyal
Published/Copyright:
June 1, 2005
Abstract
Monochorionic monoamnionic pregnancies are rare and have a poor obstetric prognosis. A single amniotic sac promotes cord knotting and entanglement with a high risk of fetal anoxia. The response to this risk has been obstetric management consisting of routine cesarean section at 32 weeks of gestation or when pulmonary maturity is attained. This approach is called into question by the series of seven monochorionic monoamnionic pregnancies we present here. Such pregnancies do indeed require increased surveillance to term, but we think it is possible to apply the usual obstetric management of twin pregnancies.
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Published Online: 2005-06-01
Published in Print: 2001-11-02
Copyright © 2001 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Fetal hemodynamics
- Right ventricular function in the human fetus
- Fetal congestive heart failure: correlation of Tei-Index and Cardiovascular-Score
- Doppler velocimetry in the evaluation of fetal hypoxia
- Monitoring the fetal heart non-invasively: a review of methods
- Personhood: a biological phenomenon
- HLA-class I antigens in patients with unexplained recurrent abortion
- SQUID biomagnetometry of the uterine arteries in normal and pre-eclamptic pregnancies
- Metabolic acidosis, core-peripheral temperature difference and blood pressure response to albumin infusion in hypotensive, very premature infants
- Monochorionic monoamnionic twins: vaginal delivery
- Accidents in neonatal period
- Congress Calendar