Technical challenges of a term delivery in a separated ischiopagus twin.

Krupp, Jennifer L; Mandel, Daniel C; Stewart, Katharina S; Shah, Dinesh M · Obstet Gynecol · 2013

case_report · Level V

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Abstract

Conjoined twins occur in one in 100,000 live births. Successful term pregnancy in a separated conjoined twin is rare. We present a 27-year-old woman, gravida 2 para 0, former ischiopagus conjoined twin with successful separation at 12 days of life. We report a successful term gestation delivered by cesarean without complications. Term pregnancy is possible in a previous conjoined twin patient having undergone surgical separation. We recommend a multidisciplinary approach with close evaluation of maternal anatomy to achieve a successful pregnancy outcome while minimizing the risk of complications.

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