MONOCHORIONIC MONOAMNIOTIC TWIN PREGNANCY COMES TO TERM WITHOUT COMPLICATIONS WITH A SINGLE FETAL DEMISE OF A TWIN SINCE 30 WEEKS: A CASE REPORT AND LITERATURE REVIEW
Othman Elharmouchi*, Youssef Essebbagh, Khadija Errmili and Aziz Baydada
ABSTRACT
A single fetal demise in a twin gestation occurs infrequently: it is recognized in fewer than 7% of twins past the first trimester. Increased morbidity is associated primarily with monozygotic twins who have vascular anastomoses associated with diamniotic-monochorionic placentation, and with monoamniotic twins. Morbidity and mortality of these twin gestations potentially can be reduced with identification of the at-risk pregnancy and with intensive antenatal surveillance. We report on a case of a mono choral mono amniotic twin pregnancy in a 37-year-old women in whom obstetrical ultrasound surveillance scan showed a twin pregnancy with negative cardiac activity in one of the fetuses since 30 weeks of amenorrhea comes to term without complications.
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