P. Abboud et al., INTENTIONAL DELAYED DELIVERY IN TWIN PREGNANCY - 2 ADDITIONAL CASES AND LITERATURE-REVIEW, European journal of obstetrics, gynecology, and reproductive biology, 75(2), 1997, pp. 139-143
We report two cases of retention of the second twin after delivery of
the first one. Both pregnancies were bichorionic, biamniotic. In both
cases the first twin was delivered during the second trimester. Tocoly
sis and antibiotics were used. The two pregnancies had a different out
come. For the first patient with a cerclage, the interval delivery was
67 days, allowing a gestational age of 28 weeks and a weight of 1070
g. The child is now 4 years old and has a normal development. In the s
econd case, the second twin was delivered at 20 1/2 weeks, 8 days afte
r the first, and died shortly after birth. Reviewing the literature, 3
4 twin pregnancies are reported with intentional delay delivery and 27
infants survived out of 68 fetuses. Cerclage does not seem to be esse
ntial for success. Prophylactic antibiotics and tocolysis are admitted
. The main problem is infection which defines the prognosis. (C) 1997
Elsevier Science Ireland Ltd.