Complications Associated With a Monocorial Twin Pregnancy Monoamniotic.

Abstract

A case report of a monoamniotic monochorionic twin pregnancy is presented and a literature review of its associated complications is carried out. A literature search was carried out in databases such as Medline / Pubmed, selecting articles published in Spanish and English during the period from January 1990 to May 2013. The terms “twins”, “monozygotic twins”, “ multiple pregnancy”, “twin pregnancy”. Review articles and cross-sectional studies were included. Monoamniotic monochorial twin gestation is a rare event. This condition is associated with multiple obstetric complications including fetal death related to umbilical cord accidents (crossovers). The objective of prenatal care is the prevention of fetal mortality, so continuous testing of fetal well-being is suggested. Termination of pregnancy in the 34th week of gestation by caesarean section, after administration of steroids, has been proposed.