title: A case of undiagnosed twins.
abstract: A pregnant patient may not be found to be 'high risk' until labor or delivery. There were no abnormalities found during a family physician's prenatal care of a P3 G4 29-year-old, apart from fluctuations of fundal height. Labor began spontaneously at 41-5/7 weeks. Brow presentation was diagnosed during the second stage, and after a healthy baby was delivered by cesarean section, an undiagnosed twin was discovered. The second twin had low Apgar scores, hypoxia associated with meconium aspiration and subsequent cerebral palsy. A lawsuit followed and it was alleged that the family physician's failure to diagnose twins constituted negligence. The prenatal record and care were scrutinized closely at trial.
authors.forename: C S
authors.initials: CS
authors.lastname: Amundson