Twins Flashcards
1
Q
Monochorionic Monoamniotic Twins
A
- path: split between 8-12 days p fertilization
Dx: - Same sex, signle unfused placenta, no intertwin dividing membrane
- US: one yolk sac, two fetal poles, cord entanglement
Cx: - 20% mortality
- Cord entanglement
- PTD, TTTS
-higher fetal anomalies
Tx: - Antepartum surveillance early in third trimester;
- Cesarean Delivery at 32 weeks
2
Q
Twins and division
A
DCDA: wtihin 3 days fertilization
MCDA: 4-8 days
MoMo: 8-12
Conjoined Twins 13 days after fertilization
