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Monoamniotic Twin Pregnancy

Published online by Cambridge University Press:  01 August 2014

R.H. Lumme  and
S.V. Saarikoski
R.H. Lumme*
Affiliation:
Department of Obstetrics and Gynaecology, University of Tampere, Finland
S.V. Saarikoski
Affiliation:
Department of Obstetrics and Gynaecology, University of Tampere, Finland
*
Dept. of Obstetrics and Gynaecology, University of Tampere, Teiskontie, SF-33520 Tampere, Finland

Abstract

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The course and outcome of 23 monoamniotic (MA) twin pregnancies, delivered in Tampere University Central Hospital during the years 1964-1984, were studied retrospectively and compared to 1056 diamniotic (DA) twin pregnancies. The frequency of MA twins was 2.1% of twin pregnancies. Polyhydramnion complicated the pregnancy in 26% of MA vs 6% of DA pregnancies. Two cases were defined as acute polyhydramnion. Preterm labour was stated in 70% of MA pregnancies and deliveries before the 34th week were 4 times more common in MA than DA pregnancies. The cesarean section rate was more than double in MA pregnancies (39%). Entanglement of the umbilical cords was noted four times, and prolapse of the cord in three vaginally delivered cases. Perinatal mortality was 28% in MA vs 5% in DA twins. The most common causes of death were respiratory distress syndrome, congenital malformation and feto-fetal transfusion.

Keywords

Monoamniotic twinsCongenital malformationPerinatal mortalityPrematurity
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 35 , Issue 1-2 , April 1986 , pp. 99 - 105
Copyright
Copyright © The International Society for Twin Studies 1986

References

REFERENCES

1. Bessis, R, Papiernik, E (1981): Echographic imagery of amniotic membrane in twin pregnancy. In Gedda, L, Parisi, P, Nance, WE (eds): Twin Research: Part A, Twin Biology and Multiple Pregnancy. New York: Alan R. Liss, pp 183–187.Google Scholar
2. Bulmer, MG (1970): The Biology of Twinning in Man. Oxford: Claredon Press.Google Scholar
3. Colburn, DW, Pasquale, SA (1982): Monoamniotic twin pregnancy. J Reprod Med 27:165–168.Google Scholar
4. Conway, CF (1964): Transfusione syndrome in multiple pregnancy. Obstet Gynecol 23:745–751.Google Scholar
5. Corney, G, Robson, EB (1975): Types of twinning and determination of zygosity. In Mac-Gillivray, I, Nylander, PPS, Corney, G (eds): Human Multiple Reproduction. Philadelphia: Saunders, pp 16–39.Google Scholar
6. Farooqui, MO, Grossman, JH, Shannon, RA (1973): A review of twin pregnancy and perinatal mortality. Obstet Gynaecol Surv 28:144–153.Google Scholar
7. Foglmann, R (1976): Monoamniotic twins. Acta Genet Med Gemellol 25:62–65.Google Scholar
8. Hendricks, CH (1966): Twinning in relation to birth weight and congenital anomalies. Obstet Gynecol 27:47–53.Google Scholar
9. James, WH (1977): The sex ratio of monoamniotic twin pairs. Ann Hum Biol. 4:143–153.Google Scholar
10. Kirkinen, P, Jouppila, P (1978): Plyhydramnion. Ann Chir Gynaecol 67:112–117.Google Scholar
11. Lumme, RH (1984): Twin Pregnancy. Acta Univ Tamperensis, 180.Google Scholar
12. Myrianthopoulos, NC (1970): An epidemiologic survey of twins in a large, prospectively studied population. Am J Hum Genet 22:611–629.Google Scholar
13. Nylander, PPS, MacGillivray, I (1975): Complications of twin pregnancy. In MacGillivray, I, Nylander, PPS, Corney, G (eds): Human Multiple Reproduction. Philadelphia: Saunders, pp 137–146.Google Scholar
14. Nylander, PPS (1975): The causation of twinning. In MacGillivray, I, Nylander, PPS, Corney, G (eds): Human Multiple Reproduction. Philadelphia: Saunders, pp 77–86.Google Scholar
15. Queenan, JT, Gadow, EC (1970); Polyhydramnion: chronic versus acute. Am J Obstet Gynecol 108:348–355.CrossRefGoogle Scholar
16. Quingley, JK (1935): Monoamniotic twin pregnancy. Am J Obstet Gynecol 29:354–362.Google Scholar
17. Rausen, AR, Seki, M, Strauss, L (1965): Twin transfusion syndrome. J Pediatr 66:613–628.Google Scholar
18. Robertson, EG, Neer, KJ (1983): Placental injection studies in twin gestation. Am J Obstet Gynecol 147:165–168.Google Scholar
19. Salerno, LJ (1959): Monoamniotic twinning. Obstet Gynecol 14:205–213.Google Scholar
20. Schinzel, AAGL, Smith, DW, Miller, JR (1979): Monozygotic twinning and structural defects. J Pediatr 95:921–930.Google Scholar
21. Schmeer, G, Bucchia, I, Brehm, H (1981): Intrauterine Fruchttod des einen Zwillings nach Polyhydramnion und spätere Spontangeburt des überlebenden Zwillings. Geburtsh Frauenheilk 41:809–810.Google Scholar
22. Simonsen, M (1966): Monoamniotic twins. Acta Obstet Gynecol Scand 45:43–52.Google Scholar
23. Tan, KL, Coon, SM, Salmon, Y, Wee, JH (1971): Conjoined twins. Acta Obstet Gynecol Scand 50:373–380.Google Scholar
24. Weir, PE, Ratten, GJ, Beischner, NA (1979): Acute polyhydramnios. Br J Obstet Gynecol 86: 849–853.Google Scholar
25. Wharton, B, Edwards, JH, Cameron, AH (1968): Mono-amniotic twins. J Obstet Gynaecol Br Commonw 75:158–163.CrossRefGoogle ScholarPubMed