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Gynaecology & Obstetrics Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!) dd3d24e7

About management of monoamniotic pregnancy , which of the following is TRUE?

A
Trial of labour can be given after ruling out conjoint twins
B
Termination should be planned electively at 32 to 34 weeks by elective LSCS
C
With regular fetal monitoring, pregnancy may be carried on upto term
D
Prophylactic tocolytics to be staed from 28 weeks to prevent preterm labour
High-Yield Explanation
Timing of elective delivery in twin pregnancy Uncomplicated dichorionic: 38 weeks Uncomplicated monochorionic diamniotic: between 34 to 37 weeks Monoamniotic: 32-34 weeks, To be done by LSCS only due to high risk of conjoint twins, cord entanglement No role of prophylactic tocolytics, progesterones or prophylactic cervical encirclage in twins
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