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Prolonged-interval delivery between the first and second twin. A case report.

Allahyar Jazayeri1, Vivian Mamlok, Mark M Dorsett

  • 1Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA. obgaj@ttuhsc.edu

The Journal of Reproductive Medicine
|March 9, 2002
PubMed
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Prolonged-interval delivery between twins, also known as delayed interval delivery, can improve outcomes for the second twin. This case study shows successful expectant management after the first twin

Area of Science:

  • Reproductive Medicine
  • Maternal-Fetal Medicine
  • Neonatology

Background:

  • Delayed interval delivery (DID) in multiple gestations can optimize neonatal outcomes.
  • Careful maternal and fetal monitoring is crucial during DID.
  • Premature rupture of membranes (PROM) in one twin presents management challenges.

Observation:

  • A nulliparous woman with dichorionic-diamniotic twins experienced PROM of twin A at 17 weeks.
  • She opted for expectant management, delivering twin A at 18 weeks.
  • Twin B underwent expectant management with amniocentesis and a McDonald cerclage, with no signs of infection.

Findings:

  • Twin B was delivered vaginally at 32 weeks, resulting in a healthy male infant (2,070 g).
  • The neonate required no mechanical ventilation and was discharged from neonatal intensive care within 7 days.

Related Experiment Videos

  • No maternal or neonatal complications were reported.
  • Implications:

    • Expectant management of the second twin after the delivery of the first is a viable option in selected cases.
    • DID can lead to improved neonatal outcomes, reducing prematurity-related complications.
    • This approach highlights the importance of individualized management in high-risk pregnancies.