Twin pregnancies are considered high risk, with monochorionic-monoamniotic twins being a rare occurrence. Monoamniotic twins carry an increased risk for fetal mortality, commonly due to umbilical cord entanglement and/or knotting of the cord. Presented are three cases of monochorionic-monoamniotic twins occurring in a clinic in rural western Kentucky within a one-year period. All three sets of twins had a positive postnatal outcome.
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