Browsing by Author "Martin, Jessica"

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    Pseudo-monoamniotic Pregnancy: Case Report and Review of Etiologic Considerations
    (Taylor and Francis, 2015) Patil, Avinash S.; Martin, Jessica; Tsukahara, Katharine; Skljarevski, Anja; Miller, Katherine; Towns, Rachel; Schubert, Frank P.; Department of Obstetrics and Gynecology, IU School of Medicine
    Pseudomonoamniotic gestations are increasingly recognized through sonographic surveillance of monochorionic twins, though etiologic factors remain undefined. We present a case of spontaneous pseudomonoamniotic twins and propose umbilical cord insertion proximity as a sonographic marker. Systematic review of the literature was performed and additional cases with similar findings were noted. Approximately 75% of reported cases (28/37) were deemed spontaneous and several included short inter-cord distances. Shunting of blood away from the membranes in the region between the cord insertions may be responsible for membrane rupture. Further investigation is needed into short inter-cord distance as a marker for monochorionic twins at risk to become a pseudomonoamniotic gestation.