DELAYED-INTERVAL DELIVERY. CLINICAL CASE AND LITERATURE REVIEW

Abstract

Delayed-interval delivery is an attempt to postpone the delivery of the second twin after the first one is born. A careful condition assessment is needed for both the woman and the foetus and possible outcomes must be evaluated in order to be able to continue with this medical tactic. Tocolytics, antibiotic therapy and cervical cerclage can be used in order to delay the second twin delivery, although the use of the latter raises questions between different authors. Right now, there are no approved protocols or guidelines in these situations, because the number of reported cases is modest. This article presents a literature review and a rare case of successful delayed-interval delivery, where the first twin spontaneously aborted, had a 18th chromosome trisomy and the second twin was born 90 days later, healthy and with a completely normal development cycle.