The Fetoplacental Circulation during Parturition Illustrated by the Interfetal Transfusion Syndrome

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Abstract
On the basis of cases reported in the literature and on three sets of twins observed by the authors, it is discussed why the volumes of circulating blood may differ essentially in monochorionic twins in whom the interfetal transfusion syndrome is in evidence. It is suggested that the observed differences may be due to some placental transfusion during and after birth, and also that the technique used for clamping of the umbilical cord is of significance. It is concluded that the choice of techniques to be used for the clamping of the umbilical cord is of importance whenever the interfetal transfusion syndrome is suspected.

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