Technical challenges of a term delivery in a separated ischiopagus twin.
BACKGROUND
Conjoined twins occur in one in 100,000 live births. Successful term pregnancy in a separated conjoined twin is rare.


METHODS
We present a 27-year-old woman, gravida 2 para 0, former ischiopagus conjoined twin with successful separation at 12 days of life. We report a successful term gestation delivered by cesarean without complications.


CONCLUSIONS
Term pregnancy is possible in a previous conjoined twin patient having undergone surgical separation. We recommend a multidisciplinary approach with close evaluation of maternal anatomy to achieve a successful pregnancy outcome while minimizing the risk of complications.
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. mmjlkrupp@yahoo.com
Jennifer L
JL
Krupp
Daniel C
DC
Mandel
Katharina S
KS
Stewart
Dinesh M
DM
Shah
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000601:surgery; D014428:Twins, Conjoined / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*