A rare case report of vaginal delivery of term conjoined twins with traumatic PPH: patient surviving the ordeal at the cost of the womb
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Conjoined Twin An extremely rare phenomenon has its incidence from 1 in 49000 to 1 in 189000 with higher incidence in south east Asia and Africa Its fetal and maternal outcome depends on the age of gestation the site of fusion and most of them are still birth babies with the survivors being the female ones Khavda district of Kacchach Bhuj Gujarat India witnessed such a delivery of a Cephalothoracophagus conjoined twin in a multigravida who developed traumatic post partum haemorrhage after a normal vaginal delivery and was referred to our hospital which is the only tertiary care centre of Kacchchh district ie BhujCase A 35 year old female patient P7L6D2 presented with severe post partum haemorrhage after vaginal delivery of a full term conjoined twin at community health centre Khavda On examination it was a case of traumatic post partum haemorrhage with right colporrhexis with traumatic rupture of uterus Patient was taken for exploration of tear and colporrhexis and obstetric Hystrectomy was performed She was saved at the cost of her uterus which bore her a Boon Where illiteracy prevails prevails the tradition of multigravid pregnancy with unawareness regarding prenatal screening and antenatal visits which at times costs the patient her lifeKeywords Multigravida Conjoined twin Cephalothoracophagus Colporrhexis Obstetric hystrectomy Traumatic post partum haemorrhage
Authors and Affiliations
Dhwani Mehta, Kritika Dr, Akansha Dr, Nimish Pandya
Keywords
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- EP ID EP476009
- DOI 10.18231/2394-2754.2018.0127
- Views 82
- Downloads 0
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