Prenatal diagnosis of an unusual nuchal cord complication in monoamniotic twins.

Abstract:

BACKGROUND:Monoamniotic twin pregnancies are frequently associated with cord entanglement, but such entanglement rarely involves the co-twin's trunk, extremities, or neck. CASE:We report a set of monoamniotic twins in which color Doppler imaging revealed that the cord of twin B was wrapped around the neck of its dead co-twin. This knowledge allowed us to avoid clamping and dividing twin A's nuchal cord during vaginal delivery, preventing asphyxia of twin B. This is the fifth reported incidence of this particular monoamniotic complication and the first to be diagnosed prenatally. CONCLUSION:Color Doppler imaging facilitates the diagnosis of rare cord complications in monoamniotic twin pregnancies.

journal_name

Obstet Gynecol

authors

Westover T,Guzman ER,Shen-Schwarz S

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

689-91

issue

4 Pt 2

eissn

0029-7844

issn

1873-233X

journal_volume

84

pub_type

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