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KMID : 0358420080510101153
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 10 p.1153 ~ p.1158
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One case of monoamniotic twin pregnancy with cord entanglement and fetus survival at 32+4 weeks after successful medical amnioreduction and intensive ultrasound surveillance
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Park Hye-Ri
Kim Hyun-Chul
Moon Myoung-Jin
Chang Sung-Woon
Kang Suk-Ho
Ahn Eun-Hee
Baek Min-Jung
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Abstract
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Monoamniotic twin pregnancies are relatively rare, but perinatal mortality is high about 30-70%. The major cause of fetal death is cord accident, congenital anomalies, twin-twin transfusion syndrome, and intrauterine growth restriction. Especially cord entanglement occurs; perinatal mortality is about 50%. So the active management of monoamniotic twins to reduce the complication of cord entanglement is important. This is a case of monoamniotic twin pregnancy with cord entanglement and both fetuses survival by elective cesarean section at 32+4 weeks after medical amnioreduction and intensive fetal surveillance.
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KEYWORD
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Monoamniotic twin, Cord entanglement, Amnioreduction, Intensive surveillance
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