DELAYED INTERVAL DELIVERY OF A TWIN PREGNANCY AFTER A FAILED ABDOMINAL CERCLAGE

Abstract

Recurrent pregnancy loss has many causes, and it is not always possible to elicit the exact etiology. One of the known etiologies is cervical anatomical defects, and this is often addressed with transvaginal or abdominal cerclage, which, despite careful placement, may not always work, leading to pregnancy loss. In twin gestation, the loss of a pregnancy can be traumatic for a mother. This has led to the practice of delayed interval delivery, whereby when the first twin is miscarried, attempts are made to prolong the pregnancy to salvage the second twin. We present the case of a mother
who was pregnant with twins after many pregnancy losses, had an abdominal cerclage that failed and led to miscarriage of the first twin, but she still had a live birth of the second twin 139 days later.