Obstetric and Neonatal Outcomes of Delayed Interval Delivery in a Twin Pregnancy: A Case Report
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Case Report

Obstetric and Neonatal Outcomes of Delayed Interval Delivery in a Twin Pregnancy: A Case Report

Gazi Med J 2019;30(2):197-198 DOI: 10.12996/gmj.2019.48
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Abstract

Patients with multiple pregnancies are at greater risk of preterm labor and delivery which is associated with increased risk of perinatal morbidity and mortality. We report a case of delayed-interval delivery of a twin pregnancy with the survival of the second fetus. The patient was hospitalized at 24 weeks and 3 days gestational age (GA) due to premature rupture of the membrane of the first amniotic sac. At 26 weeks of GA, the first fetus was born vaginally and died due to prematurity. To keep the second fetus in utero and minimize the complications, emergency McDonald cerclage was performed, and tocolysis, magnesium sulfate, betamethasone, and antibiotics were administrated. Despite our treatment at 28 weeks and 2 days gestational age, the second fetus was born via cesarean section due to breech presentation. At 10 months of corrected age, she exhibited normal development. She is now 6 years old and does not have sequel.

Keywords: Multiple pregnancy; preterm labor; cervical cerclage; magnesium sulfate; delayed interval delivery