Twins discrepancy

From: SAVARIS@vortex.ufrgs.br
Wed Jun 26 21:15:06 1996


For the ones who wanted the original case from the twins.

and few more answers.

I dont know why the discrepancy of their weight, one reasable answer that cross my mind is that htey were diamniotic, dichorionic.

Why the babies died? Baby #1 (800g) died just after the delivery, I dont have the necropsy, but I will try to find, but for some strange reasons necropsy is not always done in the babies. I have heard that the parents have to pay for the pathology (1200 USD) BAby #2 (1200g) died from hyaline membrane in the day after.

Desaceleration type 2 is late desaceleration.

The original case. A primigest, 24 yold, female, started with premature labour at 24 weeks. Ritodrine was tried with no success. The cervix reached 7 cm. The day before the Biophysical profile was 5/8 for #2 and 4/8 for #1. At US the #1 was at vertix apresentation and #2 transverse.

During monitoring, both babies presented late desaceleration, and number #1 persistent bradicardia. My collegue decided to performe emergency C/S.

What would you do?

Ricardo Savaris Porto Alegre, Brazil





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