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TWINPREGNANCY: Twin pregnancy

From: AEKG (anonymous@obgyn.net)
Fri, 24 Aug 2007 02:19:39 -0500 (CDT)


Hello - I was pregnant with twins but it was not discovered that they were identical twins in the same sac until the time of delivery at 29 weeks with significant cord entanglement. After delivery, I reviewed copies of my ultrasound reports(from approx. 6 weeks and 12 weeks) and there was mention in the first two reports that a dividing membrane could not be seen; however, this was never relayed to me by my doctor and his plan was for me to see a peri for the first time at 30 weeks. When I did end up at the peri's office at 26 weeks due to decreased movement, she told me that my ob/gyn had informed her that he did not know if they were in the same sac. First, am I off base in thinking that my ob/gyn "dropped the ball", so to speak, with regards to determining the presence or absence of a dividing membrane? Isn't that something that should have been investigated further, especially when they were later determined to be same-sex twins? My gut tells me that the answer is yes, but I'm wondering if I am correct from a medical standpoint? Second, if I am correct, how would you feel as a doctor if your patient brought this up with you? (It happened 18 months ago so he may not even remember anything!) I don't want to put him on the spot, but I do want to find out why things happened the way they did and I don't want to be "confrontational" (can't think of a better word) if I am totally off base in my thinking. Thank you.





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