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Unequal Placental Sharing

Monochorionic twins have to share a single placenta but don’t always share it equally. Depending on where each fetus’ umbilical cord inserts into their shared placenta, one twin may get a smaller share of the nutrients and oxygen that are critical for normal growth and development. Perinatologist and twin expert, Dr. Larry Rand, describes the clinical markers of this condition and the importance of frequent ultrasound surveillance when monochorionic twins are found to be more than 20% different in size.

Download supporting document: Monochorionic Twins Recommendations PDF brochure


This video is part of a series of presentations shared with parents after they have received a diagnosis concerning their twin pregnancy to explain the condition in as accurate, thoughtful and direct manner possible. These videos are designed to take the mystery out of the diagnosis for parents, their families and friends.

Refer to Fetal Treatment Center


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UCSF Pediatrics

Related Presenters

Larry Rand

Larry Rand

Director of Perinatal Services at the UCSF Fetal Treatment Center

Dr. Larry Rand is an obstetrician and gynecologist who specializes in high-risk pregnancy and maternal-fetal medicine. He is director of perinatal services at the UCSF Fetal Treatment Center.

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