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Journal of Artificial Intelligence in Medicine

Peer-Reviewed Academic Journal
Research Article

A CASE OF EXTENDED INTERVAL BETWEEN TWIN LOSS AND FULL-TERM PREGNANCY: A RARE CLINICAL OBSERVATION

Authors & Affiliations
Adaeze Chinelo Nwankwo
Departments of 1Obstetrics and Gynaecology Chukwuemeka Odumegwu, University Teaching Awka, Anambra State, Nigeria.
Ugochukwu Emmanuel Okeke
Obstetrics and Gynaecology Life, International Hospital, Awka, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State
Published: December 17, 2024
Volume 12, Issue 4 (2024)
Article ID: 764
Peer-Reviewed
Open Access
Abstract

While a number of cases detailing delayed interval birth of the second twin have been published recently, most of the deliveries have been before 34 weeks and rarely beyond 36 weeks. We report a case of delayed interval delivery at term with a favourable outcome. The loss of first twin was at 14 weeks in a dichorionic diamniotic twin gestation in which the placenta was retained. Pregnancy was conceived via In Vitro Fertilization (IVF) cycle. The Triangular 3-Bite Technique cervical stitch application was utilized to secure the cervix after 2 days of use of salbutamol and dydrogesterone as tocolytics with amoxicillian clavulanic acid to prevent intrauterine infection. The woman had a biweekly check of clotting profile and pregnancy was uneventful till term and she was delivered. We noted that delayed interval delivery can be done after the delivery of the first twin with second twin carried to term to avoid challenges of fetal prematurity

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