Anusha DEVALLA, Akhila PAGOLU, Geetha Sulochana GOPIDAS, Srujana VELDI, Bhargavi PALATI
Journal of the Turkish-German Gynecological Association - 2026;27(2):147-150
A 23-year-old Gravida 3, Para 1, with one living and one abortion, with a history of one previous lower segment Cesarean section and a short inter-conception period of 16 months, conceived spontaneously during the lactational period. She was followed up outside and had irregular antenatal visits, with the first visit at 20 weeks. Ultrasound confirmed twin pregnancy with no congenital anomalies. She presented late to our institution at 34+2 weeks in latent labour. Ultrasonography revealed intrauterine fetal demise of one twin, with an overall liquor volume of 18 cm. The patient underwent an emergency cesarean section. Umbilical cord abnormality was noted. Both female babies were extracted as vertex presentation. The first neonate cried after initial steps of resuscitation, had a one minute APGAR score of 3, and weighed 2150 g. The second twin was dead with no signs of life and with a birth weight of 2200 g. An autopsy was performed on the dead fetus. No significant neonatal complications occurred in the surviving twin.
