39-day delay in delivery of twins. A case report
1Department of Obstetrics and Gynecology, Illinois Masonic Medical Center, Chicago, Illinois, USA. dmb21@gateway.net
Background:
Delayed delivery is a rare occurrence in the literature despite advances in reproductive technology and increasing numbers of multiple gestations.
Case:
A 30-year-old woman, gravida 2, para 0010, presented at 23 weeks and 3 days' gestation with a twin pregnancy. An interval of 39 days was achieved between delivery of the first and second fetus with aggressive tocolysis and antibiotic therapy. Follow-up at three years revealed the second twin to be a fully functioning boy.
Conclusion:
Forty citations in the literature have examined delayed delivery. With careful patient selection and thorough patient counseling, delayed delivery offers a safe and beneficial management option for selected multiple gestations.