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Monoamniotic Monochorionic (MoMo) Twins - Success Story

Achievement of Obstetric and Gynecological department

The Obstetric and Gynecologic department of Suyash Hospital headed by Dr. Pooja kadhi has done the high risk critical delivery operation of 36 week Monochromic Monoamniotic turns gestation, booked case, blessed with twins babies, entanglement of cords was present both babies are healthy along with mother weighted 2 kg and 2.5 kg.

Monoamniotic twins are identical twins that develop inside the same amniotic sac. Also known as MoMo twins (Monoamniotic-Monochorionic), monoamniotic twins are always identical. These share a placenta within their mother’s uterus, but have two separate umbilical cords for nourishment.  Monoamniotic twins are rare, occurring in approximately 1 in 35,000 to 1 in 60,000 pregnancies. Monoamniotic triplets can also develop, but this is extremely rare. Unfortunately, monoamniotic twins are at great risk for health complications due to the close proximity of the two umbilical cords in the amniotic sac. This makes it particularly easy for the twins to become entangled in each other’s cords, or to compress one another’s cords, endangering their oxygen and food supply. The survival rate for monoamniotic twins is approximately 50%.

Monoamniotic twins are quite rare, but require special care and monitoring. Virtually all MoMo babies are born prematurely. Doctors have to balance the risks of the babies' condition in the womb versus the consequences of prematurity. If cord compression occurs early in the pregnancy, the babies may not be able to survive. Some doctors elect to schedule delivery of MoMo babies at 32, 34 or 36 weeks, believing that the womb environment is simply too dangerous past that point in time.

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