DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221948

About a case of a specific complication of monoamniotic twin pregnancy: umbilical cord entanglement

Mouhamadou Wade, Mamour Gueye, Aissatou Mbodji, Mame Diarra Ndiaye, Mouhamet Sene, Pahté Sow, Daouda Adama Diallo, Mouhamed Nazir Sylla, Magatte Mbaye

Abstract


Monoamniotic twin pregnancies are uncommon and often complicated by umbilical cord entanglement. It is important to investigate a umbilical cord entanglement during antenatal ultrasound examinations. The diagnosis is based on ultrasound with color and pulsed Doppler. Despite the high percentage of cord entanglement, the perinatal mortality rate remains very low. Rigorous ultrasound monitoring and recording of fetal heart rhythms can improve the prognosis. We report a case of umbilical cord entanglement in a monoamniotic twin pregnancy discovered during a caesarean section with a favorable outcome.


Keywords


Monoamniotic twin pregnancy, Cord entanglement, Perinatal complications

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