Case report on monochorionic diamniotic twins with gestational hypertension

Monochorionic diamniotic twins share a single placenta, posing increased risks for complications such as twin-twin transfusion syndrome, preëclampsia and gestational hypertension. The presence of gestational hypertension in MCDA pregnancies adds complexity to maternal and fetal management. This case report aims to describe the management and outcomes of a patient having MCDA twins with gestational hypertension. A 28-year-old G5P3L3A1 at 28 weeks of gestation, developed hypertension, which resulted in a difficult clinical course. Ultimately, at 39 weeks + 4 days of gestation, the twins were delivered by standard vaginal delivery. The patient was managed with antihypertensive medication and maternal monitoring for signs of preeclampsia. This case report demonstrates that, with diligent monitoring and appropriate management, it is possible to mitigate some of the adverse effects of gestational hypertension on MCDA twin pregnancies. This serves as a beacon of hope for healthcare providers and families facing similar complex scenarios.