Foetus Papyraceous In Twin Pregnancy – A Case Report

Abstract

Single foetal death in twin pregnancies is not common, the reported incidence ranges from 0.5% to 6.8%1. Most of the single foetal demise occurs in monochorionic twin pregnancies. Death of one twin in first trimester with vanishing twin syndrome is relatively common (up to 29%) and the pregnancy usually continues with little adverse effect on the mother and twin. But death of one twin in second or third trimester is more serious with an increased risk for surviving twin and possibility of maternal disseminated intravascular coagulation1 (DIC). It is emphasized that a close high-risk obstetric management must be used and a careful paediatric follow up must be done afterwards2.