IIARD International Institute of Academic Research and Development

INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )

E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 9 NO. 2 2024
DOI: https://doi.org/10.56201/ijhpr.v9.no2.2024.pg9.13

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A Rare Case of Delayed Interval Delivery of Second Twin Until Term After Loss of First Twin At 15 Weeks Gestational Age: A Case Report and Literature Review

Akabuike JC, Nwajiaku LA, Ikechebelu JI, Okpala BC, Udemezue OI

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Abstract

While a number of cases detailing delayed interval birth of the second twin have been published recently, most of the deliveries have been before 34 weeks and rarely beyond 36 weeks. We report a case of delayed interval delivery at term with a favourable outcome. The loss of first twin was at 14 weeks in a dichorionic diamniotic twin gestation in which the placenta was retained. Pregnancy was conceived via In Vitro Fertilization (IVF) cycle. The Triangular 3-Bite Technique cervical stitch application was utilized to secure the cervix after 2 days of use of salbutamol and dydrogesterone as tocolytics with amoxicillian clavulanic acid to prevent intrauterine infection. The woman had a biweekly check of clotting profile and pregnancy was uneventful till term and she was delivered. We noted that delayed interval delivery can be done after the delivery of the first twin with second twin carried to term to avoid challenges of fetal prematurity.

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References:

1. Gladstone M, Oliver C, Van den Broek N. Survival, morbidity, growth and developmental
delay for babies born preterm in low and middle income countries - a systematic review of
outcomes
measured.
PLoS
One.
2015
Mar
20;10(3):e0120566.
doi:
10.1371/journal.pone.0120566. PMID: 25793703; PMCID: PMC4368095.

2. Benito Vielba M, De Bonrostro Torralba C, Pallares Arnal V, Herrero Serrano R, Tejero
Cabrejas EL, Campillos Maza JM. Delayed-interval delivery in twin pregnancies: report
of three cases and literature review. J Matern Fetal Neonatal Med. 2019;32(2):351-355...

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