Table 1.

Key points in management of twin pregnancies with single fetal demise (adapted from [3]).

1. Counseling and support.

2. Individualized management plan.

3. Management in a tertiary center with competent neonatal support.

4. Information on chorionicity.

5. Evaluation of fetal anomalies and close fetal surveillance.

6. Steroid prophylaxis for lung maturity in case of preterm delivery.

7. Conservative management until 37 weeks. Earlier intervention in the presence of other obstetric indications.

8. Vaginal delivery if possible.

9. Post-mortem examination of the stillborn. Placenta for histological examination.

10. Pediatric assessment and long-term follow-up.