Beating the Record: 157 Days of Delayed Delivery of The Second Fetus in a Twin Pregnancy

Beating the Record: 157 Days of Delayed Delivery of The Second Fetus in a Twin Pregnancy

Author Info

Corresponding Author
Lourdes Sala Climent
Department of Obstetrics and Gynecology, University Hospital Arnau de Vilanova, Lérida, Spain

A B S T R A C T

Case Report: We present the case of a diamniotic-dichorionic twin pregnancy of 14+4 weeks with obstetric history of cervical incompetence. The premature delivery of the first twin took place, with unfortunate outcome. The second twin was left in utero. The management, at first, included combination of expectant attitude with a close monitoring of maternal constants and analysis, and administration of antibiotics; in a second step, after discarding intraamniotic infection, a McDonald cerclage was performed with success. At 37 weeks the cerclage was removed and after Oxytocin induction, a healthy baby was born. Conclusion: Delayed delivery of the second fetus in a twin pregnancy is an effective management choice. The use of cervical cerclage after the first delivery is associated with a longer inter-delivery interval. The behaviour in these unusual cases should be assessed individually, due to the scarce literature on the matter and the lack of unanimous protocols. But, always considering the maternal and fetal status, trying to improve perinatal results with a strict maternal surveillance to discard the appearance of a possible intraamniotic infection.

Article Info

Article Type
Case Report
Publication history
Received: Wed 06, May 2020
Accepted: Mon 18, May 2020
Published: Fri 29, May 2020
Copyright
© 2021 Lourdes Sala Climent. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.CROGR.2020.01.06