2nd gravida 16 wk twin pregnancy with one foetus anomalous and 2nd is normal .. what is plan of management?

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repeat a 20 wks scan. reassess both the fetuses. As pics says they are DiAmniotic,u can closely monitor &continue the pregnancy. But there is increased chance of preterm labour, IUGR of normal twin. Do doppler study of normal appearing twin.
Proper counseling of the parents, if they not willing to continue then termination as otherwise also there is severe oligo in anomalous twin so heading towards IUFD.During this stage y need to have proper monitoring of coagulation profile .
Stress factor for doctor as well pt till she delivers.
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continue the pregnancy under observation as the second fetus is normal . do the anomaly scan time to time to rule out further damage .
Repeat the anamoly scan after 2 weeks. If the twin is confirmed anamolous then selective fetal reduction.
Can continue da pregnancy but needs careful monitoring with follow up scans
know the type of twins mono or di. discuss counsel couple
wait & watch repeat scan after 2 weeks
Wait watch
is it a dichorionic pregnancy /monochorionic pregnancy? what's the abnormality detected at 16 weeks? G2 P1 L1 TWINS 16 weeks. one twin abnormal. I feel that pregnancy should be terminated because *there's a long way to go (another 24 weeks ). *possibility of abnormality in second twin. *possibility of preterm labour. emotional trauma for mother.
AS THE JOURNEY IS VERY LONG , ONE FETUS IUD, CLOSE MONITORING FOR COAGULATION PROFILE.SOMETIMES THIS DEAD FETUS MAY BECOME ATROPHIC &ENDS UP FETUS PAPARASEOUS SOMETIMES OLNLY WHEN THEY ARE DICHORIO&DIAMNIO.SO ITS VERY PRECIOUS PREGNANCY EXPLAIN THE FAMILY MEMBERS &CONTINUE IN D&D TWINS.OTHERWISE TERMINATION AS EARLY AS POSSIBLE.
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