Abstract

Zineb Zghari*, Meimouna Bouh, Youssef Essabagh, Najia Zraidi, Amina Lakhdar, Abdelaziz Baidada and Aicha Kharbach

ABSTRACT

A monochorionic monoamniotic twin pregnancy (MCMA) is the development of two fetuses within the same amniotic sac. This is the rarest type of twin pregnancy, representing about 1% of monozygotic twin pregnancies. This pregnancy results from a late division between the 8th and 13th day after fertilization. The frequency is rare as it is less than 1% of monozygotic pregnancies. This pregnancy is burdened with a very high morbidity either during pregnancy (death in utero, cord entanglement, prematurity) or at delivery. The morbidity of this pregnancy poses the problem of its ultrasound recognition given the rarity, the type of follow-up (frequency, ambulatory, hospitalization) and the optimal term of birth in order to avoid in utero deaths related to funicular causes and finally the mode of delivery.[1,4]