39-day delay in delivery of twins. A case report.
BACKGROUND
Delayed delivery is a rare occurrence in the literature despite advances in reproductive technology and increasing numbers of multiple gestations.


METHODS
A 30-year-old woman, gravida 2, para 0010, presented at 23 weeks and 3 days' gestation with a twin pregnancy. An interval of 39 days was achieved between delivery of the first and second fetus with aggressive tocolysis and antibiotic therapy. Follow-up at three years revealed the second twin to be a fully functioning boy.


CONCLUSIONS
Forty citations in the literature have examined delayed delivery. With careful patient selection and thorough patient counseling, delayed delivery offers a safe and beneficial management option for selected multiple gestations.
Benden
D
D
Department of Obstetrics and Gynecology, Illinois Masonic Medical Center, Chicago, Illinois, USA. dmb21@gateway.net
Miller
M
M
Hatoum
N
N
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D018579:Patient Selection; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D013997:Time Factors; D015149:Tocolytic Agents / Q000627:therapeutic use*; D014427:Twins
D000900:Anti-Bacterial Agents; D015149:Tocolytic Agents