Abstract
Background TRAP sequence occurs in monochorionic pregnancies consisting of one normal fetus
and a non-viable fetus. The pump twin has an increased risk of developing high-output
cardiac failure.
Case 32-year-old G4P2012 with TRAP syndrome in current pregnancy presented to triage at
26 weeks with contractions and spotting. She had undergone RFA for selective reduction
at another facility. Placental abruption was suspected and patient underwent a cesarean
section. Twin A was delivered alive although she subsequently succumbed due to complications
of prematurity.
Conclusion This case highlights the importance of early detection and consistent prenatal care
in the management of TRAP sequence. Further research of interventions associated with
improved outcomes should be encouraged.
Keywords
TRAP - complications - monochorionic monoamniotic twin - fetal
