Notching of the umbilical artery waveform associated with cord entanglement in a monoamniotic twin pregnancy

Author： Hugon-Rodin Justine   Guilbert Jean-Baptiste   Baron Xavier   Camus Eric  

Publisher： Informa Healthcare

ISSN： 1476-4954

Source： Journal of Maternal-Fetal and Neonatal Medicine, Vol.26, Iss.15, 2013-10, pp. : 1559-1561

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Abstract

AbstractCord accidents are the principal cause of the high rates of morbidity and mortality associated with monoamniotic twins. Observation of an umbilical artery notch might be a highly specific sign for cord entanglement involving a tight cord knot. It thus justifies the implementation of intense surveillance and should be one of the factors taken into account in deciding on early delivery of the twins.

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