Locked twins—remote from term: a case report
Abstract Background Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:100 twin pregnancies. One of the known etiologic factors for locked twins is size of the twins. We report a case of chin-to-chin locked twins that occurred at gestational age of 30 weeks...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-03-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-021-02725-5 |
| _version_ | 1818870725884248064 |
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| author | Abraham Fessehaye Ferid A. Abubeker Mekdes Daba |
| author_facet | Abraham Fessehaye Ferid A. Abubeker Mekdes Daba |
| author_sort | Abraham Fessehaye |
| collection | DOAJ |
| description | Abstract Background Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:100 twin pregnancies. One of the known etiologic factors for locked twins is size of the twins. We report a case of chin-to-chin locked twins that occurred at gestational age of 30 weeks pus 6 days. Case summary A 27 years-old primigravida Oromo mother presented with a history of pushing down pain and passage of liquor of 6 hours duration at gestational age of 30 weeks plus 6 days. With a diagnosis of twin pregnancy (first twin non-vertex), abdominal delivery was decided in latent first stage of labor but mother refused caesarian delivery and she was allowed to labor with the hope of achieving a vaginal delivery. In second stage, interlocking twin was encountered and a low vertical cesarean section was done to effect delivery of twins without the need to decapitate the first twin. Conclusion Locked twin is a rare obstetric complication. Whenever it is encountered, successful delivery can be achieved without the need to have decapitation of the first twin during caesarian section. |
| first_indexed | 2024-12-19T12:11:36Z |
| format | Article |
| id | doaj.art-55ed187f5b08431f98f70569ee815515 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-19T12:11:36Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-55ed187f5b08431f98f70569ee8155152022-12-21T20:22:10ZengBMCJournal of Medical Case Reports1752-19472021-03-011511310.1186/s13256-021-02725-5Locked twins—remote from term: a case reportAbraham Fessehaye0Ferid A. Abubeker1Mekdes Daba2Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeAbstract Background Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:100 twin pregnancies. One of the known etiologic factors for locked twins is size of the twins. We report a case of chin-to-chin locked twins that occurred at gestational age of 30 weeks pus 6 days. Case summary A 27 years-old primigravida Oromo mother presented with a history of pushing down pain and passage of liquor of 6 hours duration at gestational age of 30 weeks plus 6 days. With a diagnosis of twin pregnancy (first twin non-vertex), abdominal delivery was decided in latent first stage of labor but mother refused caesarian delivery and she was allowed to labor with the hope of achieving a vaginal delivery. In second stage, interlocking twin was encountered and a low vertical cesarean section was done to effect delivery of twins without the need to decapitate the first twin. Conclusion Locked twin is a rare obstetric complication. Whenever it is encountered, successful delivery can be achieved without the need to have decapitation of the first twin during caesarian section.https://doi.org/10.1186/s13256-021-02725-5Twin pregnancyLocked twinsLow-vertical cesarean sectionBreech |
| spellingShingle | Abraham Fessehaye Ferid A. Abubeker Mekdes Daba Locked twins—remote from term: a case report Journal of Medical Case Reports Twin pregnancy Locked twins Low-vertical cesarean section Breech |
| title | Locked twins—remote from term: a case report |
| title_full | Locked twins—remote from term: a case report |
| title_fullStr | Locked twins—remote from term: a case report |
| title_full_unstemmed | Locked twins—remote from term: a case report |
| title_short | Locked twins—remote from term: a case report |
| title_sort | locked twins remote from term a case report |
| topic | Twin pregnancy Locked twins Low-vertical cesarean section Breech |
| url | https://doi.org/10.1186/s13256-021-02725-5 |
| work_keys_str_mv | AT abrahamfessehaye lockedtwinsremotefromtermacasereport AT feridaabubeker lockedtwinsremotefromtermacasereport AT mekdesdaba lockedtwinsremotefromtermacasereport |