Fetal reduction in multiple pregnancy and asynchronous delivery of the second twin

Prado J.Q.; Almandoz P.Q.; Almandoz A.Q.; Gambetta D.T. · Revista Peruana de Ginecologia y Obstetricia (2024) · DOI: 10.31403/rpgo.v70i2665

Resumen

Deferred delivery or asynchronous delivery is rare in multiple pregnancies. When the birth of the first twin occurs before 20-26 weeks, deferred delivery of the second twin is a therapeutic option that allows increasing the gestational age to achieve viability, pulmonary maturity and survival. A clinical case of deferred delivery of the second twin is presented, in which the first delivery was at 24+1/7 weeks and the second at 34+2/7, prolonging the pregnancy by 73 days and resulting in a preterm newborn of 2,150 g.