A rare case report of cord entanglement in a post-dated monochorionic monoamniotic twins

Authors

  • Kasturi Donimath Department of Obstetrics & Gynaecology, Karnataka Institute of Medical sciences, Hubli, Karnataka, India
  • Harsha B. Department of Obstetrics & Gynaecology, Karnataka Institute of Medical sciences, Hubli, Karnataka, India
  • Rashmi Shalgar Department of Obstetrics & Gynaecology, Karnataka Institute of Medical sciences, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20151631

Keywords:

Monochorionic, Monoamniotic, Cord entanglements

Abstract

Monochorionic Monoamniotic (MCMA) twin gestations have been associated perinatal mortality rates as high as 28 to 47%. Umbilical cord entanglements and knots, twin-to-twin transfusion syndrome, congenital anomalies, prematurity and intertwin locking during labour is responsible for their high perinatal morbidity and mortality. We report here a case of Cord entanglement in a post-dated MCMA twin pregnancy without any complications.

References

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Sherer DM, Sokolovsli M, Haratz-Rubinstein N. Diagnosis of umbilical cord entanglement of monoamniotic twins by first trimester color Doppler imaging. J Ultrasound Med. 2002;21:1307-9.

Dickinson JE. Monoamniotic twin pregnancy: a review of contemporary practice. Aust NZ J Obstet Gynaecol. 2005;45:474-8.

Benirschke K. The biology of twinning process: how placentation influences outcome. Semin Perinatol. 1995;19:342-50.

Carr SR, Aranson MP, Coustan DR. Survival rates of monoamniotic twins do not decrease after 30 weeks gestation. Am J Obstet Gynecol. 1993;168:601-4.

Renu Misra. Ian Donald’s Practical Obstetric Problems; 7th ed:353-75.

Lee YM. Delivery of twins. Semin Perinatol. 2012; 36(3):195-200.

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Published

2016-12-16

Issue

Vol. 5 No. 1 (2016): January 2016

Section

Case Reports