VAGINAL DELIVERY OF THORACOPAGUS TWINS: CASE REPORT

Dr. Ankisha Sharma* and Dr. Aabha Sharma

ABSTRACT

Background: Developmental anomaly leading to malfusion of body parts in twins is called as conjoined twins. These rare cases are usually diagnosed in early pregnancy if patient is under good antenatal follow up. If patient is not under good surveillance then these cases may present as complications of labour. Case report: This case report is about 38 years gravid 5 with 4 live issues, an unbooked and unsupervised female referred from primary health centre to medical college in view of pre term labour with fetal heart not auscultable. It was an undiagnosed case of pre term conjoined twins presented with shoulder dystocia and delivered vaginally with challenging management of labour. Conclusion: Undiagnosed conjoined twins during labour can cause both maternal and fetal morbidity and mortality. So, timely detection with proper antenatal investigations and good plan of management is required on prior basis to avoid any untoward events.

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