Successful Delivery of Surviving Twin after the Demise of a Single Twin: Report of 2-Cases
Authors/Creators
- 1. Department of Obstetrics and Gynaecology, Pamo University Medical School.
- 2. Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital
- 3. Paediatric Department, Bayelsa Medical University, Yenagoa, Bayelsa State, Nigeria
- 4. Department of Pediatrics, ESUTTH, Parkland Enugu.
Description
Background: Twin gestation is high risk pregnancy associated with high maternal and perinatal morbidity and mortality. Researchers have reported the death of one fetus and the successful delivery of the surviving twin at term.
Aim: To present an unusual clinical entity of successful delivery of surviving twin after the demise of a single twin: report of 2-cases.
Case reports: Case 1- Mrs T.C 48-year old Para 2+0 (2 alive) with 8-years history of secondary on infertility. Her conception was by IVF-EF. She had demise of first twin at 19 weeks of gestation. Her routine investigations were normal. She was placed on antibiotic cover. Her weekly radiogram and 4-weekly FBC+WBC Differentials, MP, Clothing profile, Urinalysis and m/c/s were normal. She had an elective Caesarean section at term with a good maternal and fetal outcome. She was discharged home on her 5th post-operative day and seen at PNC where she was counseled on family planning.
Case 2- Mrs 3-year old Pare 2+1 (2 alive) with twin gestation her conception was spontaneously conceived. She registered for ANC at 16-weeks gestation. Obstetric USS done at booking revealed fetuses had dichorionic placentation. The first twin died at 22-weeks of gestation. Her FBC+WBC Differentials, MP, Clothing profile, Urinalysis and m/c/s were normal. She was placed on antibiotic cover. She had elective caesarean section at term with good maternal and fetal outcome. She was discharged on her fifth post-operative day in good clinical state. She was seen at the post-natal clinic and counseled on family planning.
Conclusion: We presented two unusual clinical scenario of successful management of surviving twin after demise of a single twin. The management was multidisciplinary serial maternal and fetal monitoring.