At what gestational age is delivery typically recommended for mono-di twins?

Delivery for mono-di twins, which refers to monochorionic/dichorionic twins, is typically recommended between 34 and 37 weeks of gestation. This timing is based on several factors, including the risks associated with later gestational ages such as twin-to-twin transfusion syndrome (TTTS), which is more common in these types of twins. By delivering within this window, healthcare providers aim to minimize the potential complications that may arise with advanced gestation, while still allowing for adequate fetal development.

Delivering before 34 weeks may lead to risks associated with prematurity, such as respiratory distress syndrome and other complications linked to early delivery, whereas extending delivery beyond 37 weeks can increase the risk of stillbirth and complications related to the placenta. This balance is crucial for optimizing outcomes for both the mother and the infants. Therefore, the recommended gestational age range of 34 to 37 weeks is a result of careful consideration of fetal and maternal health, making it the most appropriate choice in this context.