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

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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