Re: Monoamniotic, monochorionic pregnancy Yup, I looked after a woman in my second year who had this, she came in at 32 weeks with niggling, she had, had a bad cough so she thought it was from the coughing that her stomach was irritable. My challenge was to set the CTG to monitor both twins. She was fine until I put her on the monitor, she got more and more tense, and her stomach was rock hard.
I went back and told my mentor something wasn't right, we'd only just obtained her notes and found out she was carrying mono-mono twins.
The consultant portable scanned her, and pointed to these pools of liquor surrounding one twin, and said we've got to get her delivered immediately (I was in shock, and couldn't understand the urgency).
It turned out they had twin-to-twin transfusion, thus one was transfusing high levels of haemoglobin to the other, which was surrounded in all this liquor as a result and the one doing the transfusing was IUGR.
Needless to say they were born by emergency c/section 10 minutes later, good result for mum, and the babies are now bounding 2 1/2 year olds full of it!!!
It was a wonderful experience, and good to see swift action on the staffs behalf xx
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