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Mono/di or Di/Di

post #1 of 12
Thread Starter 
We aren't sure what they are. The tech doing the ultrasound thought they had one placenta but then my doctor said the placenta could have just fused. He didnt seem too concerned either way. We aren't finding out gender. I am 19 weeks and this was our first official ultrasound.

Just wondering if any of you were in this circumstance.

They both measured 2 days exactly ahead!! So he said since their growth is so good we dont need another scan til 27 weeks.
post #2 of 12
Stupid question, but are yours the same sex? If no, they are di-di.

I was in just the same situation - twins discovered at 19 weeks, same sex, placentas fused (and MZ twins, which of course we couldn't know at that point.) There are two things the techs look for: does the membrane meet the placenta at a "T" intersection or at a delta? A "T" suggests mono-di, a lambda suggests di-di. The other thing techs look for is a thick membrane. The chorion consists of the placenta and a membrane going all around the amniotic sac. Another MOT here described it as a water balloon in a zip lock bag. Mono-di = 2 water balloons in one ziplock = thin membrane between the babes, di-di = two zip lock bags next to each other = thick membrane.

Although I didn't understand it at the time, the tech did get excited to see my thick membrane. She pointed it out to me, and even my untrained eye could see it clearly. To me, that suggests di-di most of all.

So, how good is your u/s office? Skeptical though I am, I had a great MFM office. So I had to take their word that ours were di-di (although I do harbor some doubts.) Yes, the membranes thin out as the pregnancy progresses, but at 19 weeks a good tech should be able to see the difference. If it's a close call the doc has to assume mono-di, because of the need for more monitoring. So if they aren't worried, it's not a close call. You SHOULD be able to believe di-di.

If you have any doubt, get a second opinion and soon, before the membrane gets any thinner.

PS - Great news on that growth! Best wishes!
post #3 of 12
Thread Starter 
http://im1.shutterfly.com/media/47a0...D550/ry%3D400/

Not sure if this link will work but here's a picture of the babies. I think it looks more like a lambda.
post #4 of 12
Thread Starter 
Gena,

Thanks for the explanation. That really helps!! It looks to me more like a lambda. My OB really thinks its fused placentas but the tech said one placenta.

To answer your questions, we don't know the genders. The plan was to not find out!! If we accidently find out bc they are monitoring more closely, no biggie. But, I really would like to wait til they are here!!

The ultrasound machine seems decent. It isn't a super fancy one but I could clearly see things she was looking at. The plan is not to do MFM.... we will only go down that path if things start acting up.

The plan is to rescan at 27 weeks and see how things look. He did say that in the third tri he may want to scan every few weeks. I thought it was going to be less than that, but he' s pretty laid back about things and I trust his judgement.
post #5 of 12
Good for you, not finding out the sex! So many possibilities.

Couldn't open your pic, but sounds like you've got every reason to assume di-di. I like the sound of your doc, he's a lot like mine who I loved. The only reason I went to a MFM was that he's a friend of my OB. In fact, I was referred to him for a routine 19 week u/s BEFORE we knew about the twins.

Dr. McDreamy as I called mine, only had me in every 4-5 weeks, all through. He said that was a good thing! So let yours give you confidence. All must be really good for you!
post #6 of 12
Thread Starter 
I think the link may work now. I posted another one.


He is a really great OB, been doing it a very long time, very trusting of the process and a woman's ability to do it.

With the appt today, he just said twins, "one comes out then the other" when I asked about delivering vaginally. As long as we have baby A heads down he is fine with however B is. (and Im a VBAC mom!!!) When I asked him about the whole VBAC aspect he said he really hasnt found any reason not to give vaginal a shot.

He didnt seem too concerned about figuring out for sure the di/di or mono/di part. He said their growht was perfect and it probably was a fused placenta, but of course my curiosity wants to know for sure.
post #7 of 12
Link worked. Looks pretty di-di to me!

Your OB sounds wonderful.
post #8 of 12
Quote:
Originally Posted by mauri456 View Post
We aren't sure what they are. The tech doing the ultrasound thought they had one placenta but then my doctor said the placenta could have just fused. He didnt seem too concerned either way. We aren't finding out gender. I am 19 weeks and this was our first official ultrasound.

Just wondering if any of you were in this circumstance.

They both measured 2 days exactly ahead!! So he said since their growth is so good we dont need another scan til 27 weeks.
This sounds just like me, tho I am 33 wks. Still not sure about the placenta(s), but it is anterior, and larger than a dinner plate and kinda on my right front, so it makes me a little nervous because I can't feel baby B as well as I can feel A.
My babes are measuring right on my EDD, and one is a tiny bit (like 2 oz) bigger than the other, so I guess that's a little different. Tho it's not enough of a difference to mean anything.
post #9 of 12
Thread Starter 
Gena - He really is wonderful!! It is awesome to have someone that can help balance letting things be low intervention but still using evidence based practice to monitor but not over due it either. It's nice this pregnancy to not feel like I need to battle or fight about this kind of thing. The best part is he works with a midwife who I can still do a good portion of my care with and she is also amazing.

I'm just gonna keep my head thinking it is the fused placentas since that is what the OB also thinks it is. I really feel like these babies are fraternal as they run in my family. My brother and sister are twins. I guess it just seems to me so much more likely that they are then identical, though really all i care is if they are healthy.

This is quite a journey!!! (and to think i thought this was going to be easy this time around bc we had already gone through it all!!! )
post #10 of 12
Thread Starter 
[QUOTE=queenofchaos;15441772]This sounds just like me, tho I am 33 wks. Still not sure about the placenta(s), but it is anterior, and larger than a dinner plate and kinda on my right front, so it makes me a little nervous because I can't feel baby B as well as I can feel A.
My babes are measuring right on my EDD, and one is a tiny bit (like 2 oz) bigger than the other, so I guess that's a little different. Tho it's not enough of a difference to mean anything.[/QUOT

It's funny that you describe the placenta larger than a dinner plate. I was thinking today goodness the placenta coming out will sort of be like a third baby.... a squishy one but still!!!

And though Im sure it makes you nervous, at least you have a good reason why you can't feel B as well. Im sure if anything went awry, A would clue you in very quick.

I don't think 2 oz at your point in the pregnancy should be a big deal.. my OB was kind of shocked that the babies measured exactly the same, he said there is usually a little difference...
post #11 of 12
I had fused placentas and the two together was HUGE! Totally like a third baby but without the bones...thank GOD. I am still in awe of Kathryn having triplets vaginally. I didn't really want to have to push out the SECOND baby....

Anyway, good luck! Interestingly, my di-di twins had a pretty thin membrane. My sonographer (22 years of experience) really thought mono-di at first until we saw a penis and a vagina.
post #12 of 12
They look di/di to me, too. It looks a lot like my 19 week scan with our fraternal boys. They weren't sure with me either because I had a huge fused placenta and they were the same gender (we didn't find out the sex either, but the question of whether they were di/di or mono/di ruined part of the surprise). From what I understand, mono/di membranes are pretty faint on ultrasounds. When I was pregnant, I found this great site with images that I could compare my ultrasound with. I can't seem to find it right now, but here's another one showing a 17-week scan: http://radiology.rsna.org/content/220/1/68.full
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