Özet:

Background: Evaluation of obstetric outcomes of monochorionic monoamniotic twin pregnancies (MCMA) with our management method that we apply in our clinic, and to describe the complications in these pregnancies. Materials and Methods: MCMA twin pregnancies that are followed and finalized in our clinic in three years period were included in the study. The data were collected retrospectively, pregnancy outcomes of the pregnancies included in the study, pregnancy complications specific to monochorionicity and congenital malformations in these pregnancies were recorded. Results: A total of 12 MCMA twin pregnancies were followed and managed in our clinic over a three-year period. In three cases, intrauterine death of co-twin was complicated in prenatal period. In one case, it resulted in intrauterine demise of both fetuses. No monochorionicity-specific complication was encountered in any case. Discordantly congenital malformations were present in both twins in one pregnancy Conclusion: MCMA pregnancies are rare but one of the most complex and controversial issues in terms of management in perinatal medicine. There is no clarity yet on how to manage and when to deliver. In this study, we reported our experience with our management protocol in our clinic. Key words: Monochorionisity, Monoamniotic pregnancy, Monozygosity

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