Contemporary Management of Complicated Monochorionic Twins


  • Karen Y. Moise,

    Corresponding author
    • Correspondence

      Karen Y. Moise, RN, 6410 Fannin Street, The Texas Fetal Center, University of Texas Health Science Center, Children's Memorial Hermann Hospital, Houston, TX 77030.

      The authors and planners for this activity report no conflict of interest or relevant financial relationships. The article includes no discussion of off-label drug or devise use. No commercial support was received for this educational activity.

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  • Lisa Kugler,

  • Tyra Jones

  • A total of one contact hour may be earned as CNE credit for reading “Contemporary Management of Complicated Monochorionic Twins”, and for completing an online post-test and evaluation

    The Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accrditation.

    AWHONN holds a California BRN number, California CNE Provider #CEP580


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.