Locked twins\u2014remote from term: a case report

Abraham Fessehaye,Mekdes Daba,Ferid A Abubeker

doi:10.1186/s13256-021-02725-5

Abraham Fessehaye, Mekdes Daba + Show 1 more

Open Access

https://doi.org/10.1186/s13256-021-02725-5

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Abstract

BackgroundLocked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:1000 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 summaryA 27 years-old primigravida Ethiopian 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.ConclusionLocked 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.

Highlights

BackgroundOf the different etiological factors for locked twins, the most important are the age of the mother, parity of the mother, and the size of the twins [1]
Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:1000 twin pregnancies
Successful delivery can be achieved without the need to have decapitation of the first twin during caesarian section

Summary

Background

Of the different etiological factors for locked twins, the most important are the age of the mother, parity of the mother, and the size of the twins [1]. Low vertical cesarean section was done that successfully effected delivery of the babies without any need of decapitation of the first twin This is a unique surgical practice being reported in our case for the first time. Case presentation A 27 years-old primigravida Ethiopian 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 from a 24 weeks ultrasound. Her last normal menstrual period was unknown.

Discussion

Conclusion