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Keywords:

  • twin–twin transfusion syndrome;
  • TTTS;
  • monochorionic twins;
  • twin-reversed arterial perfusion sequence;
  • TRAP;
  • acardiac twinning;
  • selective IUGR;
  • laser photocoagulation;
  • bipolar cord coagulation;
  • BCC;
  • radiofrequency ablation;
  • RFA

ABSTRACT

Monochorionic twins are at increased risk for unique complications including twin–twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and twin-reversed arterial perfusion (TRAP) sequence. Twin–twin transfusion syndrome is treated with laser photocoagulation whereas selective reduction is an option in previable sIUGR or TRAP sequence. The nurse is integral in the management, education, care and support of women with complicated pregnancies.