“Locked twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old primigravida with a 31-week twin pregnancy was admitted for delivery. The head of the first twin was locked to the chin of...“Locked twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old primigravida with a 31-week twin pregnancy was admitted for delivery. The head of the first twin was locked to the chin of the second twin at the top of the symphysis pubis. Caesarean section was performed allowing the delivery of both dead twins. Twins gestations with first twin in the breech </span><span style="font-family:Verdana;">presentation raise index of suspicion of potential locked twin. However,</span><span style="font-family:Verdana;"> management of such situation is controversial with most authors and colleges re</span><span style="font-family:Verdana;">commending caesarean section to avoid interlocking heads. We report</span><span style="font-family:Verdana;"> another rare case of interlocking heads and bring up the topic about management of breech-first twin deliveries.展开更多
文摘“Locked twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old primigravida with a 31-week twin pregnancy was admitted for delivery. The head of the first twin was locked to the chin of the second twin at the top of the symphysis pubis. Caesarean section was performed allowing the delivery of both dead twins. Twins gestations with first twin in the breech </span><span style="font-family:Verdana;">presentation raise index of suspicion of potential locked twin. However,</span><span style="font-family:Verdana;"> management of such situation is controversial with most authors and colleges re</span><span style="font-family:Verdana;">commending caesarean section to avoid interlocking heads. We report</span><span style="font-family:Verdana;"> another rare case of interlocking heads and bring up the topic about management of breech-first twin deliveries.
