and a member of ACOG's Committee on Obstetric Practice, said the meta-analysis is of "high quality," with "helpful and valid" findings for dichorionic
pregnancies, the prospective weekly pooled risk of stillbirths from expectant management and the risk of neonatal mortality from delivery were balanced at 37 weeks of gestation (risk difference, 1.
In cases of monochorionic twins selective cord occlusion is done, and in cases of dichorionic
twin pregnancies intra-cardiac potassium injection is used.
10,11 In view of the antenatal complications like stillbirth, the National Institute of Health (NIH) and the Society for Maternal-Foetal Medicine (SMFM) published a consensus document suggesting a delivery at 38 weeks in the dichorionic
twins and at 34-37 weeks in monochorionic twins.
The other outcomes differ between monochorionic and dichorionic
twins because the splitting of an egg can be imperfect: monochorionic twins share "plumbing" and vascular connections, and they have to share the resources of one placenta, Dr.
According to chorionicity, the mean gestational age at delivery was lower in monochorionic pregnancies compared to dichorionic
Early identification of whether a twin gestation involves either a monochorionic, single-placenta placentation, or a dichorionic
, dual-placenta placentation is essential for accurate risk assessment and optimal antepartum management.
There were no aneuploid fetuses among the twin pregnancies, and the mean NT in monochorionic twins was significantly higher than that in dichorionic
Cases of spontaneous rupture of the membrane, has also been described in dichorionic
diamniotic pregnancies (4,5) which has been documented by serial scans.
A distinction between monochorionic and dichorionic
twins must be made.
Urig et al & Moore et al observed that; there is threefold increase in perinatal mortality in monochorionic twins as compared with dichorionic
At her first prenatal visit at 14 weeks' gestation, a 41-year-old woman (G2P1) presents with a dichorionic
twin gestation, blood pressure (BP) of 105/68 mm Hg, and a body mass index (BMI) of 40 kg/[m.