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[Text on screen:
Madison Feinberg
Patient
Ohio State Wexner Medical Center]

Madison Feinberg: We found out we were having a high-risk twin pregnancy when I was around seven weeks pregnant. I just remember being so flustered, shocked, excited, overwhelmed. She was checking to see if there were two sacs, two placentas. She had suspected they could be MoMo twins, or monochorionic-monoamniotic twins, but we didn't know for sure until I was 12 weeks pregnant.

[Text on screen:
Bethany Stetson, MD
Maternal fetal medicine physician
Ohio State Wexner Medical Center]

Bethany Stetson: Monochorionic-monoamniotic twins are very rare in general. They take up about one in 10,000 pregnancies, and with regards to twins alone, they compile only about 1% of all twin pregnancies. So at Ohio State annually, we probably see about one to two. The biggest thing that we think about, in addition to all of the risks associated with any twins, their specific risk is their cord entanglement. So because they share one sac, their cords can become entangled, and they have a higher risk of stillbirth related to that, and thus require increased surveillance and a medically recommended premature delivery.

Madison Feinberg: We would go to see the high-risk doctors and get ultrasounds about once every two weeks as well. So I was in and out of doctor's offices pretty much once a week up until leading into my inpatient stay. I went into the hospital at 28 weeks, and that was on December 9th. They were born January 15th at 9:33 and 9:35. The doctors were shocked at how much they weighed being born at 33 weeks and three days, being extremely preemie. They were a good size, and being so close in weight as well was also exciting for them, meaning that they were sharing the nutrients in the womb well and they were getting along, so that was really, really great. Luckily, they were able to both come home on the same day, which was really exciting.

Bethany Stetson: The maternal fetal medicine team at Ohio State is known nationally and really setting the bar for excellence within our field. Some of the unique specialties that the maternal fetal medicine group offers to patients is management of diabetes in pregnancies by some of the specialists around the country that we have here at Ohio State. Additionally, we have a multidisciplinary team that manages complex cardiac disease in pregnancy, as well as specialists that can manage the most complex of fetal and maternal conditions.

Madison Feinberg: OSU definitely helped me get through this hard, difficult time of uncertainty, and I feel like all the staff really truly made a difference in my experience of just making me feel comfortable and more at peace and more at ease, and educating me on all my options and what to expect. No one can really truly prepare you for what life is going to look like with kids, but it's chaos. It's beautiful chaos.

[Text on screen:
The Ohio State University Wexner Medical Center
For more information, visit:
wexnermedical.osu.edu/MFM

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