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Images in neonatal medicine
Getting knotted: umbilical knots in a monochorionic monoamniotic twin pregnancy
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  • Published on: 10 January 2005
    Knotted cords in monoamniotic twins are not benign

    Dear Editor,

    Omari and Cameron are not quite right when they extrapolate from the literature on knotted cords in singleton pregnancies to the particular situation of monochorionic monoamniotic twins. It is true to point out that a single true knot in the cord is rarely of significance when there is one baby, although on occasion even these can tighten and cause hypovolaemic shock and/or hypoxic ischaemia.

    ...
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    Conflict of Interest:
    None declared.