Nigerian Journal of Clinical Practice

CASE REPORT
Year
: 2008  |  Volume : 11  |  Issue : 2  |  Page : 155--157

Salvaging twin 2 after abortion of twin 1 : a case report


JU Onakewhor, O Ohiosimuan, AN Onyiriuka 
 Department of Obstetrics and Gynecology, University ofBenin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
J U Onakewhor
Department of Obstetrics and Gynecology, University ofBenin Teaching Hospital, Benin City, Nigeria

We present intentional delayed delivery of twin 2 after a spontaneous membrane rupture and abortion oftwin1 in a dichorionic twin pregnancy at 14 weeks. As signs of infection were missing, we adopted a conservative (not expectant) management. The pregnancy was prolonged to 35 weeks«SQ» gestation. In the absence of additional risk factors, the role of conservative management of multiple pregnancies after loss of one fetus in prolonging the pregnancy to fetal viability in resource-poor setting is highlighted. The gained gestational age of 20 weeks and 4 days (144 days in all), for the remaining fetus and the healthy mother and child pair after delivery at 35 weeks are discussed. The perinatal, economic and psychological implications are highlighted. The importance of good clinical assessment in the diagnosis of cervical incompetence and using ultrasound scan as a complimentary instrument is emphasized.


How to cite this article:
Onakewhor J U, Ohiosimuan O, Onyiriuka A N. Salvaging twin 2 after abortion of twin 1 : a case report.Niger J Clin Pract 2008;11:155-157


How to cite this URL:
Onakewhor J U, Ohiosimuan O, Onyiriuka A N. Salvaging twin 2 after abortion of twin 1 : a case report. Niger J Clin Pract [serial online] 2008 [cited 2020 Oct 23 ];11:155-157
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2008;volume=11;issue=2;spage=155;epage=157;aulast=Onakewhor;type=0