A case report of a delayed-interval delivery in a dichorionic diamniotic twin pregnancy

Justin White, Catherine Craig, Diane Ahn


Background: Twin gestation carries the risk of preterm delivery, which can result in neonatal morbidity and mortality. A delayed-interval delivery is a rare option when it is believed delayed arrival of the second twin will improve its outcome, provided there are no contraindications to the procedure.

Case: Dichorionic diamnotic twins presented at 23w2d with previous preterm premature rupture of membranes in twin A, which resulted in spontaneous vaginal delivery of twin A at 26w1d followed by a delayed-interval delivery of twin B, eight days later at 27w2d via caesarean section.

Conclusion: Since there are no guidelines on the procedure, case series and reports are a main source of information. Although successful outcomes have been documented, it is essential to explain the maternal, fetal and neonatal risks and benefits fully to the patient. 

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DOI: https://doi.org/10.15273/dmj.Vol42No1.6436


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