Delayed interval delivery (DID) with raised markers of infection and emergency cervical cerclage − a case report and review of literature

Abstract

Typically, all fetuses of a multiple gestations deliver within a short interval; however, in selected cases, the preterm birth of one fetus may not require delivery of the other fetus (es). An extended time interval between births of siblings at a critical gestational age may improve neonatal survival and reduce morbidity from preterm birth. We report a case of 41year old woman with twin IVF pregnancy, in which the first twin delivered at 22 weeks and the second twin was delivered at 31 weeks with a favourable outcome. Conclusion: With the increasing use of ART and consequent multifetal gestation, premature delivery is the most dreaded complication with the loss of all babies. In recent years the approach to the fate of after coming twins during preterm delivery has changed. Desperate attempts to salvage the second twin by delaying delivery have been reported recently in some cases with favourable outcome for the second twin.