Abstract

HERNANDEZ MARTINEZ, Adela María  and  FLORES NORIEGA, Mónica Lourdes. Asynchronous delivery in a twin pregnancy. First case report in Peru. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.1, 00015.  Epub Feb 24, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2390.

Asynchronous delivery (AD) or delayed interval delivery (DID) is a rare presentation of multiple gestation. This occurs when one fetus is delivered vaginally and the remaining fetus or fetuses are kept in utero and are born with a difference of days or weeks. This is the first report in Peru of a pregnant woman whose first delivery was at 20.1 weeks and the second at 24.4 weeks, and the management and perinatal results of the case are detailed. The evidence suggests that a DID improves survival and reduces morbidity and mortality of the second fetus. Further research on this topic is essential to describe its real prevalence, identify ideal candidates, standardize obstetric management and thus optimize maternal and fetal outcomes.

Keywords : Multiple pregnancy; Twins; Complications of labor; Premature birth; Delayed birth.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )