Monoamniotic twins, or Mo/Mo twins, are unique types of identical twins. They come from a single fertilized egg and share the amniotic sac and placenta. This rare condition occurs in less than 0.1% of all pregnancies, making it quite a special situation.

Mo/Mo twins are typically identified through an ultrasound within the first 14 weeks of pregnancy. The key indicators include seeing one placenta with blood flow to two fetuses within the same amniotic sac. Early detection is vital for closely monitoring these pregnancies.

The primary risks include cord entanglement and compression, which can compromise the twins' blood supply. There's also a higher chance of premature delivery, birth weight differences, and conditions like twin-to-twin transfusion syndrome (TTTS). These risks necessitate close medical supervision.

Management involves regular ultrasound assessments, fetal echocardiography, and constant monitoring for potential complications. In some high-risk situations, in-patient care with continuous monitoring might be necessary. The aim is to maximize the twins' survival rates and health outcomes.

A cesarean section (C-section) is often the preferred method of delivery for Mo/Mo twins to minimize risks related to cord entanglement and other complications. In some cases, early delivery, between 32 and 34 weeks, may be recommended to prevent further complications.

Yes, with contemporary management and medical interventions, Mo/Mo twins have a high chance of survival and can lead healthy lives. Close monitoring and care during pregnancy and after birth are crucial to address any health issues arising from prematurity or their unique prenatal condition.

Managing complications such as TTTS involves specialized techniques like laser surgery, steroids, and sometimes amnioreduction to improve outcomes. Early detection and intervention are key to managing these risks effectively.