[Monochorionic twin pregnancy and the following problems].

Abstract

Monochorionic twin pregnancies have an increased risk of intrauterine and postnatal complications because of the present placental vascular anastomoses. The main problems are the development of twin-to-twin transfusion syndrome,selective intrauterine growth restriction, monoamniotic twins and single intrauterine death on the one hand and congenital abnormalities like twin reversed-arterial perfusion and conjoined twins on the other hand. Fetoscopic laser therapy with selective coagulation of placental intertwin anastomoses is the best option in the treatment of twin-to-twin transfusion syndrome. The risk of preterm delivery, cerebral injury and abnormalities of long-term neurodevelopmental outcome are increased. Perinatal management of monochorionic twin pregnancies should be performed in specialized tertiar centers.

• Authors: F Bahlmann
• Journal: Zeitschrift fur Geburtshilfe und Neonatologie (Z Geburtshilfe Neonatol) Vol. 213 Issue 6 Pg. 234-7 (Dec 2009) ISSN: 1439-1651 [Electronic] Germany
• Vernacular Title: Die monochoriale Zwillingsgravidität und ihre Problematik.
• PMID: 20101571 (Publication Type: English Abstract, Journal Article, Review)

Topics

• Female
• Fetal Diseases (diagnosis, etiology, prevention & control)
• Humans
• Infant, Newborn
• Infant, Newborn, Diseases (diagnosis, etiology, prevention & control)
• Neonatal Screening
• Obstetric Labor Complications (diagnosis, etiology, prevention & control)
• Pregnancy
• Pregnancy Complications (diagnosis, etiology, prevention & control)
• Prenatal Diagnosis
• Risk Management
• Twins