Incidental Finding of a Single Fetal Demise in Twin Pregnancy

We report a case of single fetal loss in a twin pregnancy, incidentally found during labour. A 26-year-old African primigravida woman presented for the first time to our department with complain of contractions. The woman had an unattended pregnancy. 

We report a case of single fetal loss in a twin pregnancy, incidentally found during labour. A 26-year-old African primigravida woman presented for the first time to our department with complain of contractions. The woman had an unattended pregnancy. Her medical history was unremarkable and pregnancy was spontaneously conceived. There was no history of abdominal pain, vaginal bleeding, or drainage of liquor during pregnancy. The transabdominal ultrasound presented a live 35-week fetus at cephalic presentation with normal amniotic fluid index. The patient went into spontaneous labour 5 hours after her admission. A live male infant weighing 2.200gr with 7/10 Apgar score was delivered vaginally. During third stage of labour, a second mummified fetus was born. The dead fetus, measuring 15 cm in length, was partially attached to the placenta of the live fetus. The infant was admitted to the Neonatal Intensive Care Unit and detailed neonatal evaluation was carried out. The postpartum period was stable and the woman was discharged the third day.

Figure:  Single fetal death in twin pregnancy.