title: [A pregnant woman without fetal heartsounds].
abstract: A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated stillbirths. A monochorionic placenta in 1 amniotic sack was seen with 2 entangled umbilical cords, a feared complication in monoamniotic monochorionic twin pregnancy.
authors.affiliation: Thyolo District Hospital, dept. Obstetrics and Gynaecology, Thyolo, Malawi. marein_s@hotmail.com
authors.forename: Marein
authors.initials: M
authors.lastname: Schimmel
authors.forename: Kinke
authors.initials: K
authors.lastname: Lommerse
mesh_terms: D000328:Adult; D000650:Amnion / Q000473:pathology*; D005260:Female; D006801:Humans; D010920:Placenta / Q000473:pathology*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011272:Pregnancy, Multiple; D050497:Stillbirth; D014430:Twins, Monozygotic; D014470:Umbilical Cord / Q000473:pathology*