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The role of fetal surveillance in monochorionic twins: review of the current findings. Maternal age has increased significantly over the years and assisted reproduction techniques are becoming more available in less developed countries, contributing to the rising number of multiple gestations. Multiple pregnancy is associated with greater risk for both the mother and the fetus than a singleton pregnancy, and needs well-trained professionals to assist and surveil its progression. This review aims to describe the available evidence and summarize the current recommendations for fetal surveillance and delivery timing for monochorionic gestations. The information contained in this review aims to improve prenatal care and management of monochorionic twin pregnancies, reducing complications and adverse perinatal outcomes.