Abstract
Twin pregnancies carry an increased risk of complications relative to singleton pregnancies [1,2].
Highlights
Twin pregnancies carry an increased risk of complications relative to singleton pregnancies [1,2]
This study aims to clarify the outcomes of complicated monochorionic twins diagnosed in the 3rd trimester, as there is a paucity of research on this topic [20]
One of the pregnancies was not included in the final analysis due to diagnosis with Twin Reversed Arterial Perfusion Sequence (TRAP)
Summary
Twin pregnancies carry an increased risk of complications relative to singleton pregnancies [1,2]. The majority of twins (approximately 80%) are Dichorionic Diamniotic (DCDA) pregnancies. Twins that are Monochorionic Diamniotic (MCDA) have an even greater risk of serious complications when compared with DCDA, of 23% vs 4% [3,4]. 20% of twins are monochorionic and whilst the majority of monochorionic twins have individual amniotic sacs (MCDA), [5] 1% of monochorionic twins have only one amniotic sac and are known as Monochorionic Monoamniotic pregnancies (MCMA) [6,7]. Monochorionic twins are 2-3 times more likely than dichorionic twins to be delivered before 32 weeks and have higher rates of congenital abnormalities and an increased risk of intrauterine (9times more likely than singletons) and neonatal death (IUD, NND) [2,11,12]. There is a paucity of data regarding the relationship between time of diagnosis of monochorionic twins with complications and the neurodevelopmental outcomes of these twins
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