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Discordant Anomalies Treatment

If you are pregnant with a monochorionic set of identical twins, your babies will share one placenta. This can sometimes leading to certain complications in the womb, as both babies are predisposed to some vascular instability. This instability can lead to a marked fluctuation in blood pressure or blood flow in the circulation of one twin, which can interfere with the normal development of fetal organs. When one twin experiences a fetal abnormality, this is known as a discordant anomaly.

Baschat examining ultrasound

Discordant Anomalies: Why Choose Johns Hopkins

  • We understand the urgency involved in exploring all management options for a fetus with a discordant anomaly. Our care team is available to take your call at any time and will see you as soon as possible.
  • Under certain circumstances, fetal anomalies can place the healthy twin at increased risk for preterm delivery.
  • Alternatively, a fetal anomaly can be so severe that normal survival after delivery is very unlikely.
  • Treatment options vary for discordant anomalies, but may include fetal monitoring and/or fetoscopic laser surgery.

Our Physicians

Rely on the expertise of our physicians to help you manage discordant anomalies.

Photo of Dr. Ahmet Alexander Baschat, M.D.

Baschat, Ahmet Alexander, M.D.

Professor of Gynecology and Obstetrics
Joint Appointment in Surgery
Director, Center for Fetal Therapy
Photo of Dr. Jena Lyn Miller, M.D.

Miller, Jena Lyn, M.D.

Assistant Professor of Gynecology and Obstetrics
Assistant Professor of Surgery
Photo of Dr. Jamie Deneen Murphy, M.D.

Murphy, Jamie Deneen, M.D.

Associate Professor of Anesthesiology and Critical Care Medicine
Associate Professor of Gynecology and Obstetrics
Director of Obstetric Anesthesia
Photo of Dr. Mara Rosner, M.D., M.P.H.

Rosner, Mara, M.D., M.P.H.

Assistant Professor of Gynecology and Obstetrics
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