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                <text>Review of international clinical guidelines related to prenatal screening during monochorionic pregnancies.</text>
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                <text>Nicholas L; Fischbein R; Ernst-Milner S; Wani R</text>
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                <text>We conducted a search for international clinical guidelines related to prenatal screening during monochorionic pregnancies. We found 25 resources from 13  countries/regions and extracted information related to general screening as well as  screening related to specific monochorionic complications, including twin-twin  transfusion syndrome (TTTS), selective fetal growth restriction (SFGR), and twin  anemia-polycythemia sequence (TAPS). Findings reveal universal recommendation for  the early establishment of chorionicity. Near-universal recommendation was found for  bi-weekly ultrasounds beginning around gestational week 16; routine TTTS and SFGR  surveillance comprised of regularly assessing fetal growth, amniotic fluids, and  bladder visibility; and fetal anatomical scanning between gestational weeks 18-22.  Conflicting recommendation was found for nuchal translucency screening;  second-trimester scanning for cervical length; routine TAPS screening; and routine  umbilical artery, umbilical vein, and ductus venosus assessment. We conclude that  across international agencies and organizations, clinical guidelines related to  monochorionic prenatal screening vary considerably. This discord raises concerns  related to equitable access to evidence-based monochorionic prenatal care; the  ability to create reliable international datasets to help improve the quality of  monochorionic research; and the promotion of patient safety and best monochorionic  outcomes. Patients globally may benefit from the coming together of international  bodies to develop inclusive universal monochorionic prenatal screening standards.</text>
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                <text>&lt;a href="http://doi.org/10.3390/jcm10051128" target="_blank" rel="noreferrer noopener"&gt;10.3390/jcm10051128&lt;/a&gt;</text>
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