Delayed interval delivery in multiple gestations

Abstract 

Two multiple pregnancies with delayed delivery after expulsion of dead fetus are presented. Case 1: A woman with a twin pregnancy and one intrauterine fetal death at 20 weeks’ gestation delivered a dead fetus at 27 weeks’ gestation. She delivered a healthy male infant weighing 2430 g at 33 weeks’ gestation (42 d after the delivery of the first twin). Case 2: A woman with quadruplets pregnancy (2 live fetuses, one empty sac, and one fetocide at 7 weeks’ gestation) got a intrauterine fetal death at 21 weeks’ gestation at one fetus among 2 live fetuses and delivered a dead fetus at 24 weeks’ gestation. She delivered a healthy female infant weighing 2110 g at 33 weeks’ gestation (58 d after the delivery of a dead fetus). On the basis of our experience and the review of literature, delayed delivery with careful observation of fetal and maternal condition is recommended for improved survival and decreased morbidity among latter-born siblings.