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Prolonged Interval Between Twin Loss and Term Delivery: a Rare Case Report and Review of the Literature

Year: 2024

Type: article

Abstract: While a number of cases detailing delayed interval birth of the second twin have been published recently, most of the deliveries have been before 34 weeks and rarely beyond 36 weeks. We report a case of delayed interval delivery at term with a favourable outcome. The loss of first twin was at 14 weeks in a dichorionic diamniotic twin gestation in which the placenta was retained. Pregnancy was conceived via In Vitro Fertilization (IVF) cycle. The Triangular 3-Bite Technique cervical stitch application was utilized to secure the cervix after 2 days of use of salbutamol and dydrogesterone as tocolytics with amoxicillian clavulanic acid to prevent intrauterine infection. The woman had a biweekly check of clotting profile and pregnancy was uneventful till term and she was delivered. We noted that delayed interval delivery can be done after the delivery of the first twin with second twin carried to term to avoid challenges of fetal prematurity.

Source: Zenodo (CERN European Organization for Nuclear Research)

Authors: Adaeze, Chinelo Nwankwo, Ugochukwu, Emmanuel Okeke

Institutions: Chukwuemeka Odumegwu Ojukwu University, Nnamdi Azikiwe University Teaching Hospital

Language: English

Topic: Assisted Reproductive Technology and Twin Pregnancy

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W6949692900

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