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04-18-2011, 05:22 AM
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"Locked Twins" *Caution: dead baby + survivor*
When it comes to “locked twins”, it is a true clinical entity you should fear the most. When twins are delivered vaginally and the first twin – twin A – presents as a breech and the second twin – twin B – as a cephalic there is an overhanging risk that the two heads get locked in between, and both babies are stuck. Then you have an obstetrical complication of dimensions – “locked twins”. That is why you always should do a Cesarean on full term twins when twin A presents as a breech and twin B as a cephalic. In this case of locked twins the delivering mother was brought to the hospital with the body of twin A already delivered. While twin B was alive “fortunately” twin A was dead, which made the procedure a lot much easier: Twin A was decapitated – twin B was rotated to breech by internal version and extracted on the feet. After that the head of twin A was easily extracted manually with a finger in the mouth. Live baby pictured is the survivor of this awful event. How tragic for the parents but praise God one baby survived. Must have been a very nasty procedure for the surgeon to carry out · · · · · · · · · · · |