About management of monoamniotic pregnancy , which of the following is TRUE?
Timing of elective delivery in twin pregnancy Uncomplicated dichorionic: 38 weeks Uncomplicated monochorionic diamniotic: between 34 to 37 weeks Monoamniotic: 32-34 weeks, To be done by LSCS only due to high risk of conjoint twins, cord entanglement No role of prophylactic tocolytics, progesterones or prophylactic cervical encirclage in twins
Trial of labour can be given after ruling out conjoint twins
Termination should be planned electively at 32 to 34 weeks by elective LSCS
With regular fetal monitoring, pregnancy may be carried on upto term
Prophylactic tocolytics to be staed from 28 weeks to prevent preterm labour
Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!)