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The article describes the concept of monochorionic multiple pregnancies, the relevance and epidemiology of the topic, as well as complications in pregnancy and delivery in monochorionic twins.

About the Author

N. A. Makatsariya
First Moscow State Medical Sechenov University of the Ministry of Health Russian Federation
Russian Federation


1. Adams D.M., Chervenak F.A. Intrapartum management of twin gestation. Clin. Obstet. Gynecol. 1990; 33: 52-60.

2. Alamia V. Jr., Royek A.B., Jaekle R.K., Meyer B.A. Preliminary experience with a prospective protocol for planned vaginal delivery of triplet gestations. Am. J. Obstet. Gynecol. 1998; 179: 1133-5.

3. Armson B.A., O’Connell C., Persad V. et al. Determinants of perinatal mortality and serious neonatal morbidity in the second twin. Obstet. Gynecol. 2006; 108: 556-64.

4. Bakos O. Birth in triplet pregnancies. Vaginal delivery – how often is possible? Acta Obstet. Gynecol. Scand. 1998; 77: 845-8.

5. Beasley E., Megerian G., Gerson A., Roberts N.S. Monoamniotic twins: case series and proposal for antenatal management. Obstet. Gynecol. 1999; 93: 130-4;

6. Blickstein I. Maternal mortality in twin gestations. J. Reprod. Med. 1997; 42: 680-4.

7. Carr S.R., Aronson M.P., Coustan D.R. Survival rates of monoamniotic twins do not decrease after 30 weeks’ gestation. Am. J. Obstet. Gynecol. 1990; 163: 719-22.

8. Caspersen L.S. A discussant to paper by Laros R.K., Dattel B. J. Am. J. Obstet. Gynecol. 1998; 158: 1334-6.

9. Cetrulo C.L. The controversy of mode of delivery in twins: the intrapartum management of twin gestation (part I). Semin. Perinatol. 1986; 10: 39-43;

10. Chervenak F.A., Johnson R.E., Berkowitz R.L., Hobbins J.C. Intrapartum external version of the second twin. Obstet Gynecol. 1993; 62: 160-5.

11. Chervenak F.A., Johnson R.E., Youcha S. et al. Intrapartum management of twin gestation. Obstet. Gynecol. 1985; 65: 119-24.

12. Cheung Y.B., Yip P., Karlberg J. Mortality of twins and singletons by gestational age: a varying-coefficient approach. Am. J. Epidemiol. 2000; 152: 1117-19.

13. Clarke J.P., Roman J.D. A review of 19 sets of triplets: the positive results of vaginal delivery. Aust. NZ J. Obstet. Gynaecol. 1994; 34: 50-3.

14. Collins J. Global epidemiology of multiple birth. Reprod Biomed. 2007; 15 (3): 1472.

15. Di Renzo G.C. The Joint 2nd World Congress on Twin Pregnancy a global perspective. The 14th Congress of the International, Society Twin Study. Florence, Italy. 1-4th April 2012.

16. Dickinson J.E., Evans S.F. The progression of disease stage in twin-twin transfusion syndrome. J. Matern. Fetal. Neonatal. Med. 2004; 16: 95-101.

17. Dommergues M., Mahieu-Caputo D., Mandelbrot L. et al. Delivery of uncomplicated triplet pregnancies: is the vaginal route safer? A case-control study. Am. J. Obstet. Gynecol. 1995; 172: 513-17.

18. Dubecq F., Dufour P., Vinatier D. et al. Rewiew of the literature , and a case report with vaginal delivery. Eur. J. Obstet. Gynecol. Reprod. Biol. 1996; 66: 183-6.

19. Friedman S.A., Schiff E., Kao L. et al. Do twins mature earlier than singletons? Results from a matched cohort study. Am. J. Obstet. Gynecol. 1997; 176: 1193-6.

20. Griffith H.B. Monoamniotic twin pregnancy. Br. J. Clin. Pract. 1986; 40:294-7.

21. Grobman W.A., Peaceman A.M., Haney E.I. et al. Neonatal outcomes in triplet gestations after a trial of labor. Am. J. Obstet. Gynecol. 1998; 179: 942-5.

22. Hecher K., Plath H., Bregenzer T., Hansmann M., Hackeloer B.J. Endoscopic laser surgery versus serial amniocenteses in the treatment of severe twin-twin transfusion syndrome. Am. J. Obstet. Gynecol. 1999; 180: 717-24;

23. Huber et al. Obstet Gynecol. 2006.

24. Ismajovich B., Confino E., Sherzer A. et al. Optimal delivery of nonvertex twins. Mt. Sinai J. Med. 1985; 52: 106-9. 25. ISTAT. 2003.

25. Kelsick F., Minkoff H. Management of breech second twin. Am. J. Obstet. Gynecol. 1982; 144: 783-6.

26. Laros R.K., Dattel B.J. Management of twin pregnancy; the vaginal route is still safe. Am. J. Obstet. Gynecol. 1998; 158: 1330-8.

27. Leveno K.J., Quirk J.G., Whalley P.J. et al. Fetal lung maturation in twin gestation. Am. J. Obstet. Gynecol. 1984; 148: 405-11.

28. Lewi L., Jani J., Blickstein I. et al. The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study. Am. J. Obstet. Gynecol. 2008; 199: 514.e1-514.e8.

29. Luke B., Minogue J., Witter F. et al. The ideal twin pregnancy: patterns of weight gain, discordancy, and length of gestation. Am. J. Obstet. Gynecol. 1993; 169: 588-97.

30. Luke B. Reducing fetal deaths in multiple births: optimal birthweights and gestational ages for infants of twin and triplet births. Acta Genet. Med. Gemellol. Roma. 1996; 45: 333-48.

31. Mari G., Roberts A., Detti L. et al. Perinatal morbidity and mortality rates in severe twintwin transfusion syndrome: results of International Amnioreduction Registry. Am. J. Obstet. Gynecol. 2003; 189: 1314-19.

32. Maternal mortality. 34. Minakami H., Sato I. Reestimating date of delivery in multifetal pregnancies. J. Am. Med. Assoc. 1996; 275: 1432-4.

33. National Vital Statistics Reports. 2009; 57 (7).

34. Papiernik E., Keith L., Oleszczuk J.J., Cervantes A. What interventions are useful in reducing the rate of preterm delivery in twins? Clin Obstet Gynecol. 1998; 41:12-23.

35. Pheiffer E.L., Golan A. Triplet pregnancy. A 10-year review of cases at Baragwanath Hospital. S Afr. Med. J. 1979; 55: 843-6.

36. Pinborg A., DMSci, ISTS Florence. April 2012.

37. Quintero R., Kontopoulos E., Chmait R. The Joint 2nd World Congress on Twin Pregnancy a global perspective. The 14th Congress of the International, Society Twin Study. Florence, Italy. 1-4th April 2012.

38. Quintero R.A., Dickinson J.E, Morales W.J. et al. Stage-based treatment of twin-twin transfusion syndrome. Am. J. Obstet. Gynecol. 2003; 188:1333-40.

39. Quintero R.A., Morales W.J., Allen M.H., Bornick P.W., Johnson P.K., Kruger M. Staging of twin-twin transfusion syndrome. J. Perinatol. 1999; 19:550-5.

40. Rabinovici J., Barkai G., Reichman B. et al. Randomized management of second nonvertex twin: vaginal delivery or cesarean section. Am. J. Obstet. Gynecol. 1987; 156: 52-6.

41. Rodis J.F., McIlveen P.F., Egan J.F. et al. Monoamniotic twins: improved perinatal survival with accurate prenatal diagnosis and antenatal fetal surveillance. Am. J. Obstet. Gynecol. 1997; 177: 1046-9.

42. Ron-El R., Caspi E., Schreyer P. et al. Triplet and quadruplet pregnancies and managemant. Obstet. Gynecol. 1981; 57: 458-63

43. Sairam S., Costeloe K., Thilaganathan B. Prospective risk of stillbirth in multiplegestation pregnancies: a population-based analysis. Obstet. Gynecol. 2002; 100: 638-41.

44. Saunders N.J., Snijders R.J., Nicolaides K.H. Therapeutic amniocentesis in twin-twin transfusion syndrome appearing in the second trimester of pregnancy. Am. J. Obstet. Gynecol. 1992; 166: 820-4.

45. Senat M.V., Deprest J., Boulvain M., Paupe A., Winer N., Ville Y. Endoscopic laser surgery versus serial amnioreduction for severe twinto-twin transfusion syndrome. N. Engl. J. Med. 2004; 351: 136-44.

46. Sepulveda W., Wong A.E., Dezerega V., Devoto J.C., Alcalde J.L. Endoscopic laser surgery in severe second-trimestr twin-twin transfusion syndrome: a three-year experience from Latin American Center. Prenat Diagn 2007; 27 (11): 1033-8.

47. Skariah J., Jost S., Oleszczuk J.J., Blickstein I. et al. Conditions predisposing to maternal mortality in twins and singletons, US birth cohort 1989. Ginicol Pol. 2000; 71: 1299-306.

48. Taylor E.S. Editorial. Obstet. Gynecol. Surv. 1976; 31: 535-6.

49. Taylor M.J., Govender L., Jolly M., Wee L., Fisk N.M. Validation of the Quintero staging system for twin-twin transfusion syndrome. Obstet. Gynecol. 2002; 100:1257-65.

50. The Joint 2nd World Congress on Twin Pregnancy a global perspective. The 14th Congress of the International, Society Twin Study. Florence, Italy. 1-4th April 2012.

51. Thompson S.A., Lyons T.J., Makowski E.L. Outcomes of twin gestation at the University of Colorado Health Sciences center. J. Reprod. Med. 1987; 32: 328-39.

52. Vitthala et al. HRU 2009. meta-analysis, 27 included papers. ISTS Florence. April 2012.

53. Ware H.H. The second twin. Am. J. Obstet.Gynecol. 1971; 110: 865-73.

54. Wen S.W., Fung K.F., Oppenheimer L. et al. Occurrence and predictors of cesarean delivery for the second twin after vaginal delivery of the first twin. Obstet. Gynecol. 2004; 103: 413-19.

55. Wildschut H.I., van Roosmalen J., van Leeuwen E., Keirse M.J. Planned abdominal compared with planned vaginal birth in triplet pregnancies. Br. J. Obstet. Gynaecol. 1995; 102: 292-6.

56. Winn H.N., Romero R., Roberts A. et al. Comparison of fetal lung maturation in preterm singleton and twin pregnancies. Am. J. Perinatol. 1992; 9: 326-8.

57. Wolff K. Excessive use of cesarean section for the second twin? Gynecol. Obstet. Invest. 2000. 50: 28-32

58. Ziadeh S.M. Perinatal outcome in 41 sets of triplets. Gynecol. Obstet. Invest. 2000; 50: 162-5.


For citations:

Makatsariya N.A. MONOCHORIONIC MULTIPLE PREGNANCY. Obstetrics, Gynecology and Reproduction. 2014;8(2):126-130. (In Russ.)

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)