title: The monoamniotic twin: a riskful event.
abstract: The monoamniotic twin is at risk for high perinatal mortality because of cord accidents. There is no consensus in literature for the obstetric management in these cases. Contradictory results are reported according to fatal complications by cord accidents after 32 weeks gestation and safety of vaginal delivery. Recently two patients were admitted to our hospital with monoamniotic twin pregnancies and a fetal death in the third trimester. On the basis of these cases a review of the literature is presented and a case registry is recommended.
authors.affiliation: Department of Obstetrics and Gynaecology, Saint Joseph Hospital, Veldhoven, The Netherlands.
authors.forename: J M
authors.initials: JM
authors.lastname: Pijnenborg
authors.forename: S G
authors.initials: SG
authors.lastname: Oei
mesh_terms: D000293:Adolescent; D000328:Adult; D000650:Amnion; D004200:Diseases in Twins; D005260:Female; D005313:Fetal Death; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D012307:Risk Factors; D014102:Torsion Abnormality; D014470:Umbilical Cord