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https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg51/
Nov 16, 2016 · Monochorionic and dichorionic twin pregnancies share increased risks of preterm birth, fetal growth restriction, pre-eclampsia, maternal pregnancy symptoms and postpartum haemorrhage. The particular challenges of monochorionic pregnancies arise from the vascular placental anastomoses that are almost universal and connect the umbilical ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1160585/
Jun 28, 2005 · In addition, we have been offering delivery of these apparently uncomplicated monochorionic twins at approximately 34 to 35 weeks' gestation following antenatal corticosteroid administration and thorough counseling regarding the risks of expectant management versus elective preterm delivery. While we acknowledge that our practice pattern is by no means a standard-of-care …Author: Jane Cleary-Goldman, Mary E D'Alton
https://www.ogmagazine.org.au/15/4-15/managing-multiples/
Most complicated MCDA twins are delivered before 36 weeks gestation. For otherwise uncomplicated MCDA twins, the risk of stillbirth rises steadily with gestational age. This was demonstrated by a recent meta-analysis in which the rate of stillbirth per 1000 uncomplicated MCDA twin pregnancies increased steadily from 32 to 37 weeks.
https://elearning.rcog.org.uk/intrapartum-management-multiple-pregnancy/timing-and-mode-birth
In uncomplicated twin pregnancies offer birth at 37 weeks to women with an uncomplicated DCDA twin pregnancy delivery and offer birth at 36 weeks to women with an uncomplicated MCDA twin pregnancy. MCMA twins should be delivered at 32+0 to 34+0 (33+6) weeks of gestation.
https://www.researchgate.net/profile/Hen_Sela/publication/233761629_Timing_of_planned_delivery_in_uncomplicated_monochorionic_diamniotic_twin_pregnancies_A_review_of_the_literature/links/0fcfd50b5132a3fd15000000/Timing-of-planned-delivery-in-uncomplicated-monochorionic-diamniotic-twin-pregnancies-A-review-of-the-literature.pdf
Monochorionic diamniotic (MCDA) twins comprise of 20–30% of twin pregnancies; roughly 50% will be undelivered and ‘uncomplicated’ beyond 32 weeks gestation. This review details
https://radiopaedia.org/articles/monochorionic-diamniotic-twin-pregnancy
An MCDA pregnancy results from a separation of a single zygote at ~4-8 days (blastocyst) following formation. These fetuses share a single chorionic sac but two yolk sacs and two amniotic sacs. By this time a trophoblast has already formed yielding a single placenta.
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
This topic will review issues related to the delivery of diamniotic twins, such as timing and route of delivery, fetal monitoring, maternal analgesia/anesthesia, and management of delivery. Antepartum assessment of these pregnancies, newborn care, and issues related to monoamniotic twin pregnancy are discussed separately:
https://www.nice.org.uk/guidance/ng137/evidence/j-timing-of-birth-pdf-248349793428
Timing of birth Twin and triplet pregnancy: evidence review for timing of birth FINAL (September 2019) 7 Where studies described twin pregnancies as complicated or uncomplicated, this was noted, and pooled separately where possible. There was no evidence identified for triplet pregnancies.
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