Technical challenges of a term delivery in a separated ischiopagus twin
Jennifer L Krupp1, Daniel C Mandel, Katharina S Stewart
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. mmjlkrupp@yahoo.com
Background:
Conjoined twins occur in one in 100,000 live births. Successful term pregnancy in a separated conjoined twin is rare.
Case:
We present a 27-year-old woman, gravida 2 para 0, former ischiopagus conjoined twin with successful separation at 12 days of life. We report a successful term gestation delivered by cesarean without complications.
Conclusion:
Term pregnancy is possible in a previous conjoined twin patient having undergone surgical separation. We recommend a multidisciplinary approach with close evaluation of maternal anatomy to achieve a successful pregnancy outcome while minimizing the risk of complications.
