TITLE:
Twin Pregnancy with Omphalocele: Challenges in Detection and Management
AUTHORS:
Aditya Wibowo, Muhammad Alamsyah Aziz, Adhi Pribadi, Akhmad Yogi Pramatirta, Herman Sumawan, Aria Yusti Kusuma
KEYWORDS:
Spontaneous Delivery, Twin Pregnancy, 2nd Baby Breech Presentation, Monochorionic Diamniotic, Omphalocele on 2nd Baby Case Report
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.6,
June
22,
2022
ABSTRACT: Twins are more likely to have congenital anomalies
than singletons. Omphalocele is still a life-threatening congenital abnormality
that requires adequate antenatal diagnosis and early treatment. A 31-year-old
woman presented with labor pains in the
eighth pregnancy month. There was a clear, watery discharge from the
birth canal 4 hours before admission. She was previously diagnosed with twins,
with one cotwin having suffered omphalocele through a 6-month-ultrasound
examination. At admission, the condition was diagnosed as
monochorionic-diamniotic twins at 32 - 33 weeks in the 2nd stage of labor: the
first baby cephalic presentation; second breech presentation with omphalocele. She vaginally gave birth to twin infants,
with those having Apgar 5’ of 6/7,
respectively. Both infants were admitted to the intensive care unit and under
treatment.