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10,11 In view of the antenatal complications like stillbirth, the National Institute of Health (NIH) and the Society for Maternal-Foetal Medicine (SMFM) published a consensus document suggesting a delivery at 38 weeks in the dichorionic twins and at 34-37 weeks in monochorionic twins.
Delivery for uncomplicated dichorionic twin pregnancies should be considered at 37 weeks' gestation, a week earlier than is generally recommended in the United States, according to a systematic review and meta-analysis of studies that reported rates of stillbirth and neonatal mortality at various gestational ages.
Perinatal outcome, placental pathology, and severity of discordance in monochorionic and dichorionic twins.
The mean NT measurement was higher in monochorionic than in dichorionic twin pregnancies.
Neilson et al found that in monochorionic twins perinatal mortality is increased three times as compared with dichorionic twins.
Compared with dichorionic twins, monochorionic twins also have increased risk for neurologic injury including an eightfold increased incidence of cerebral palsy and for preterm birth, spontaneous abortion, intrauterine growth restriction and growth discordance, intrauterine fetal demise, and twin-to-twin transfusion drome.
9% patients had diamniotic dichorionic twins while 16.