Term life birth after late abortion of the first twin

Acta Obstet Gynecol Scand. 2009;88(10):1148-52. doi: 10.1080/00016340903171066.


The incidence of multiple pregnancy has increased significantly in recent years as a result of assisted reproductive therapy. The most important complication of these pregnancies remains preterm delivery. We report an extraordinary case of delayed delivery after late abortion of the first twin. Tocolysis successfully prolonged the pregnancy for more than three months, and combined with antibiotics and corticosteroids resulted in a term delivery of a second healthy sibling. A total of 37 reports that describe 145 cases of intentional delayed delivery are available. Delay of delivery may offer significant improvement in survival and outcome for the remaining fetus. Delay of delivery beyond 37 weeks is uncommon with only eight reports. A protocol for the procedure of delayed delivery of the second twin is suggested.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Spontaneous*
  • Adult
  • Antibiotic Prophylaxis
  • Clinical Protocols
  • Female
  • Gestational Age
  • Humans
  • Indomethacin / administration & dosage
  • Pregnancy
  • Sperm Injections, Intracytoplasmic
  • Term Birth*
  • Time Factors
  • Tocolysis
  • Tocolytic Agents / administration & dosage
  • Twins*


  • Tocolytic Agents
  • Indomethacin