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Obstetrics & Gynecology 1992;79:260-263
© 1992 by The American College of Obstetricians and Gynecologists
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Delayed Delivery of Second Twin: Report of Four Cases and Review of the Literature

B K WITTMANN, MD, FRCS(C), D. FARQUHARSON, MD, FRCS(C), G P WONG, MD,CM, FRCS(C), V. BALDWIN, MD, FRCP(C), L D WADSWORTH, MB, FRCP(C), FRCP(UK) and L. ELIT, MD, FRCS(C)

From the Departments of Obstetrics and Pathology, University of British Columbia, Grace Hospital, British Columbia Children's Hospital, Vancouver; and the Department of Psychology, Simon Fraser University, Burnaby, British Columbia, Canada

Abstract

In four cases of delayed delivery of a twin pregnancy with survival of the second twin, the interval ranged at 41-143 days. Review of the literature and our cases supports the following approach: high ligation of the umbilical cord with an absorbable suture, cervical suture in the presence of cervical dilatation, and serial monitoring of fetal growth and maternal coagulation indices. Disseminated intravascular coagulation has not been reported in such cases.






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Copyright © 1992 by the American College of Obstetricians and Gynecologists.