Unforeseen Intrauterine Foetal Demise in Dichorionic Diamniotic Twin Pregnancy during the Second Trimester: A Case Report

Abstract

The health of both mother and child during delivery is the cornerstone of a thriving nation; however, rare cases of unexpected Intrauterine Foetal Demise (IUFD) pose significant challenges to healthcare. This case report presents an unexpected IUFD in a dichorionic diamniotic twin pregnancy involving a primigravida female who conceived through In-vitro Fertilisation (IVF). At 18 weeks and two days of gestation, one twin was diagnosed with IUFD through an ultrasound examination, with an unknown aetiology. The patient underwent cervical cerclage to support the continued pregnancy. Ultimately, at 35 weeks, a caesarean section was performed to deliver one live female baby and one mummified foetus of unknown gender. This case underscores the challenges and management of IUFD in multiple pregnancies and highlights the importance of close monitoring and timely interventions.

Keywords

• intrauterine foetal loss
• maternal outcomes
• obstetric challenges