TWIN PREGNANCY

2 / 100

Marina Ivanišević, Josip Đelmiš

Department of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb

TWIN PREGNANCY

Marina Ivanišević, Josip Đelmiš

Review

Key words:  twin pregnancy, monochorionic twins, twin to twin transfusion syndrom, fetoscopic laser photocoagulation

SUMMARY. This issue of the Journal Gynaecologia et Perinatologia shows the latest comprehension of twin pregnancy. The authors emphasize the importance of the diagnosis of chorionicity before the 14th week of pregnancy because this data determines how pregnancy will be menagement. In antenatal care, an ultrasound examination should be performed to determine the amount of amniotic fl iud every 2 weeks, and every 4 weeks the fetal growth. Compared to dichorionic twins, monochorionic twins have an increased risk of spontaneous abortion, premature delivery, intrauterine growth restriction, intrauterine fetal death and twin to twin transfusion syndrome. Fetoscopic laser photocoagulation of placental arterio-venous anastomosis increases the chance of survival and reduces the risk of premature births of monochorionic twins in which twin to twin transfusion syndrome has been diagnosed.