Abstract
Introduction: Twin pregnancies are associated with a risk of premature delivery.
 Case presentation: A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes. The patient received specialized bed rest and support, and the pregnancy was successfully completed at 36 weeks and 5 days.
 Conclusion: In the second half of the pregnancy, due to the risk of emergency cervical cerclage, expectant management seems an appropriate and safe approach.
Highlights
Twin pregnancies are associated with a risk of premature delivery
Skupski et al suggest that cerclage treatment for incompetent cervix in the second half of pregnancy is inferior to bed rest, which allows a significant increase of the gestational age and reduces the risk of preterm birth and its associated complications (Skupski et al, 2014)
There was a higher rate of cervical length, of about 3 mm per week, which culminated to 11 mm at the end of the 26th week of pregnancy
Summary
Twin pregnancies have increased significantly in the past decade, mostly due to the use of assisted reproductive techniques. Skupski et al suggest that cerclage treatment for incompetent cervix in the second half of pregnancy is inferior to bed rest, which allows a significant increase of the gestational age and reduces the risk of preterm birth and its associated complications (Skupski et al, 2014). The purpose of this report is to present a case of second half twin pregnancy with very short cervical length, which ended successfully with a specialized bed rest at home. ISSN: 2198-4093 www.bmrat.org specialized routine which consisted of repeatedly massaging her feet, hands and body, resting in the Trendelenburg position, and moving in the crawl form (allfours) inside the house She could be in standing position to go to the restroom only once a day. At follow-up, mother and babies were in good health and reported no problems
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