title: Contemporary management of complicated monochorionic twins.
abstract: Monochorionic twins are at increased risk for unique complications including twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and twin-reversed arterial perfusion (TRAP) sequence. Twin-twin transfusion syndrome is treated with laser photocoagulation whereas selective reduction is an option in previable sIUGR or TRAP sequence. The nurse is integral in the management, education, care and support of women with complicated pregnancies.
authors.affiliation: Texas Fetal Center, University of Texas Health Science Center, Children's Memorial Hermann Hospital, Houston, TX 77030, USA. Karen.Moise@uth.tmc.edu
authors.forename: Karen Y
authors.initials: KY
authors.lastname: Moise
authors.forename: Lisa
authors.initials: L
authors.lastname: Kugler
authors.forename: Tyra
authors.initials: T
authors.lastname: Jones
mesh_terms: D017115:Catheter Ablation; D004200:Diseases in Twins; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005330:Fetofetal Transfusion / Q000175:diagnosis / Q000628:therapy*; D005332:Fetoscopy; D006801:Humans; D008028:Light Coagulation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy*; D011296:Prenatal Diagnosis; D014430:Twins, Monozygotic; D014463:Ultrasonography; D016157:Vascular Fistula / Q000175:diagnosis / Q000628:therapy*