Twin Pregnancy Complicated By Interlocking: A Case Report

Management of labor in multiple pregnancies is one of the most attracting subjects of obstetrics. Presentation of twin pairs is the major determinant of the route of deliv ery. In the past how to deliv er breech v ertex twin pairs was a conf licting decision. Anesthesia, technical difficulties and a...

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Main Authors: Tayfun Kutlu, Elif Bağlam, Sadiye Eren
Format: Article
Language:English
Published: Medical Network 2006-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/562
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author Tayfun Kutlu
Elif Bağlam
Sadiye Eren
author_facet Tayfun Kutlu
Elif Bağlam
Sadiye Eren
author_sort Tayfun Kutlu
collection DOAJ
description Management of labor in multiple pregnancies is one of the most attracting subjects of obstetrics. Presentation of twin pairs is the major determinant of the route of deliv ery. In the past how to deliv er breech v ertex twin pairs was a conf licting decision. Anesthesia, technical difficulties and antibiotic options restricted the use of cesarean section. Under such circumstances ev en sacrif ication of one of the babies could be acceptable and thus mortality and morbidity was high. Recently we pref er the abdominal route f or delivery of breech vertex twins. Maternal morbidity is only slightly increased in cesarean sections when compared to vaginal deliv ery with the innovations of today. We now present a case of breech vertex twins which were interlocked during v aginal deliv ery and the f irst twin could be deliv ered up to the scapulas. The delivery of the first breech twin could be completed only after the abdominal deliv ery of the second v ertex twin. The babies both did very well in contrast to their difficult deliv ery. This condition presented a chance for us to rev iew the management of deliv ery of breech v ertex twin pairs in the literature and to present our own clinical experience.
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spelling doaj.art-c2111199c08c4f988317e3d861aa2f582023-02-15T16:19:47ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512006-04-01121496Twin Pregnancy Complicated By Interlocking: A Case ReportTayfun Kutlu0Elif Bağlam1Sadiye Eren2Zeynep Kamil Women’s And Children’s Hospital, IstanbulZeynep Kamil Women’s And Children’s Hospital, IstanbulZeynep Kamil Women’s And Children’s Hospital, IstanbulManagement of labor in multiple pregnancies is one of the most attracting subjects of obstetrics. Presentation of twin pairs is the major determinant of the route of deliv ery. In the past how to deliv er breech v ertex twin pairs was a conf licting decision. Anesthesia, technical difficulties and antibiotic options restricted the use of cesarean section. Under such circumstances ev en sacrif ication of one of the babies could be acceptable and thus mortality and morbidity was high. Recently we pref er the abdominal route f or delivery of breech vertex twins. Maternal morbidity is only slightly increased in cesarean sections when compared to vaginal deliv ery with the innovations of today. We now present a case of breech vertex twins which were interlocked during v aginal deliv ery and the f irst twin could be deliv ered up to the scapulas. The delivery of the first breech twin could be completed only after the abdominal deliv ery of the second v ertex twin. The babies both did very well in contrast to their difficult deliv ery. This condition presented a chance for us to rev iew the management of deliv ery of breech v ertex twin pairs in the literature and to present our own clinical experience.http://gorm.com.tr/index.php/GORM/article/view/562Twins, Interlocking, Breech-vertex presentation
spellingShingle Tayfun Kutlu
Elif Bağlam
Sadiye Eren
Twin Pregnancy Complicated By Interlocking: A Case Report
Gynecology Obstetrics & Reproductive Medicine
Twins, Interlocking, Breech-vertex presentation
title Twin Pregnancy Complicated By Interlocking: A Case Report
title_full Twin Pregnancy Complicated By Interlocking: A Case Report
title_fullStr Twin Pregnancy Complicated By Interlocking: A Case Report
title_full_unstemmed Twin Pregnancy Complicated By Interlocking: A Case Report
title_short Twin Pregnancy Complicated By Interlocking: A Case Report
title_sort twin pregnancy complicated by interlocking a case report
topic Twins, Interlocking, Breech-vertex presentation
url http://gorm.com.tr/index.php/GORM/article/view/562
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AT elifbaglam twinpregnancycomplicatedbyinterlockingacasereport
AT sadiyeeren twinpregnancycomplicatedbyinterlockingacasereport