Monochorionic twin pregnancies commonly known as identical twins are more frequently (every two weeks from 16th week of pregnancy) monitored throughout pregnancy in order to maximize the chances for a good outcome. In addition to complications such as preterm labor and preterm delivery that all twins face, MCDA twins are at risk of complications specific to a shared blood supply. Circulatory imbalance across blood vessels linking twins places them at risk for twin-twin transfusion syndrome (TTTS). Uneven division of the placenta may result in unequal placental sharing (UPS). These complications can occur in 15 % of cases.

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