Delayed interval delivery in the setting of placental abruption: a case report.

BACKGROUND

Attempts at delayed interval deliveries in multifetal gestations have become more common. However, selection criteria are imperative to success, and placental abruption is generally considered a contraindication.

CASE

A woman with a diamniotic-dichorionic twin gestation at 23 weeks presented after a motor vehicle accident with placental abruption, hypofibrinogenemia an intrauterine fetal demise of twin A. She was expectantly managed, and the hypofibrinogenemia was nonprogressive. One week later, after delivery of twin A, a delayed interval delivery was attempted with tocolysis and antibiotics. Prolongation of the pregnancy allowed the delivery of a viable neonate.

CONCLUSION

Delayed interval delivery can be a reasonable option in the setting of placental abruption if maternal hemodynamic status is closely monitored and the patient is thoroughly counseled.