Role of prenatal ultrasound in management of monochorionic twin pregnancy


The twin-to-twin transfusion syndrome and twin reversed arterial perfusion are a serious complication of monochorionic twin pregnancies. Partly as a result of an inadequate understanding of the pathophysiology of the syndromes, there is a lack of consensus in clinical management. We sought to review the available information on the etiology of both syndromes, to identify parameters that contribute to the severity of the syndromes, and propose a rational management plan based on pathophysiology, clinical presentation and the efficacy of therapies.

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About the authors

E K Aylamazian

Ott Institute of Obstetrics and Gynecology of the Russian Academy of Medical Sciences, St. Petersburg

E S Nekrasova



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Copyright (c) 2011 Aylamazian E.K., Nekrasova E.S.

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