Rescue cervical cerclage of the second twin at 21 weeks with favorable materno-fetal outcomes at the Douala Gyneco-Obstetric and Pediatric Hospital: a case report

Abstract

Multiple pregnancies are among the high-risk pregnancies. Common complications include threatened abortion, incomplete abortions and prematurity. These abortions may involve only one of the fetuses, resulting in a conservative therapeutic approach to preserve the remaining fetus or fetuses. We report the case of a delayed delivery of the second twin in a 28-year-old patient. She had benefited from a rescue cervical cerclage of the second twin at 21 weeks of amenorrhea (WA), followed by a Caesarean section at 34 WA, with favorable maternal-fetal outcomes. Our aim is to portray its therapeutic and prognostic particularities. From this uncommon clinical case, it is demonstrated that urgent management can improve the prognosis of the patient and of the remaining fetus.

Keywords

• rescue cerclage
• second twin
• outcomes