She is admitted at 26 weeks pregnancy and will stay as an inpatient until 32 weeks when she will get a C-section. When you ask why, the attending says, "We have to do daily fetal monitoring, look for cord knots on ultrasound, and check Doppler velocitometry."
Challenge: What is the concern, which is unique to this type of pregnancy?
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cord entanglement!
yup, cord entanglement. Dark Angel - thanks for the offer. I don't have time right now for more things, but I like your facebook groups :)
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Monoamniotic, monochorionic twins are rare but have a high risk of fetal complications including cord entanglement which can lead to cord compression, fetal injury, and death.
Source: UpToDate.
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