UMBILICAL CORD TWISTS CAUSING INTRAUTERINE FETAL DEMISE OF A MONOZYGOTIC CO-TWIN

Vidyadhar B Bangal,Rajiv M Chandaliya,Satyajit P Gavhane,Kunaal K Shinde

doi:10.7439/ijbar.v4i3.931

Vidyadhar B Bangal, Rajiv M Chandaliya + Show 2 more

Open Access

https://doi.org/10.7439/ijbar.v4i3.931

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Abstract

Monozygotic twin gestation is associated with adverse perinatal outcome.Umbilical cord related accidents are more common with monoamniotic twin gestations.Twisting of umbilical cord results into sudden death of a co- twin in multifetal gestation.Cord accidents occur suddenly and unexpectedly.A case of fetal demise of co-twin due to multiple twists at the fetal end of the umbilical cord in 34 weeks of monochorionic dizygotic twin gestation is reported.She underwent elective caesarean section with favorable outcome in surviving twin.

Highlights

Monozygotic twin gestation is associated with adverse perinatal outcome.1Umbilical cord accidents(UCA) are more common with monoamniotic twin gestations.[2]
Twisting of umbilical cord results into sudden death of a co- twin in multifetal gestation.Fetuses with long cord length and excessive movements are more likely to develop umbilical cord twists.It is very difficult to predict about the cord related accidents during antenatal period.3-5Management of twin gestation with intrauterine demise of one fetus pose great challenge to the Obstetrician.Prolong retention of dead fetus in the uterus has adverse effects on pregnant woman as well as the surviving co-twin
Torsioned umbilical cords can be untwisted.[6]. It is different from natural helixes which cannot be untwisted. These twists can cause umbilical blood flow obstruction,if they exceed the ability of the cord to absorb the torque

Summary

Introduction

Monozygotic twin gestation is associated with adverse perinatal outcome.1Umbilical cord accidents(UCA) are more common with monoamniotic twin gestations.[2] Twisting of umbilical cord results into sudden death of a co- twin in multifetal gestation.Fetuses with long cord length and excessive movements are more likely to develop umbilical cord twists.It is very difficult to predict about the cord related accidents during antenatal period.3-5Management of twin gestation with intrauterine demise of one fetus pose great challenge to the Obstetrician.Prolong retention of dead fetus in the uterus has adverse effects on pregnant woman as well as the surviving co-twin

Case Report

Findings

Discussion