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Management of conjoined twins
V Grover1, R Chawla, S L Mishra
1Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
Summary
This case study details the vaginal delivery of thoracopagus conjoined twins. Destructive operations were necessary to reduce fetal bulk for successful delivery.
Area of Science:
- Obstetrics and Gynecology
- Perinatology
- Fetal Surgery
Background:
- Conjoined twins present unique obstetric challenges.
- Thoracopagus twins, joined at the chest, are a rare form of conjoined twinning.
- Management requires specialized multidisciplinary care.
Observation:
- A case of thoracopagus conjoined twins was identified during the second stage of labor.
- Vaginal delivery was attempted.
- Fetal bulk reduction via destructive operations was performed.
Findings:
- Successful vaginal delivery was achieved after fetal destructive operations.
- The case highlights the complexities of managing conjoined twins in labor.
- Antenatal evaluation is crucial for planning delivery.
Implications:
- This case underscores the need for advanced obstetric interventions in rare presentations.
- Improved antenatal diagnosis and planning can optimize outcomes for conjoined twins.
- Destructive operations remain a viable option in specific obstetric emergencies involving conjoined twins.