Emergency Delivery Due to Maternal Health Issues
Son Born Prematurely at 26 Weeks, Daughter at 31 Weeks
A rare case occurred in Vietnam where male and female twins were born five weeks apart.
On the 2nd (local time), according to local media Tuoi Tre and Yonhap News, a 26-year-old mother in a maternity hospital in Hanoi, Vietnam, gave birth to a son at 26 weeks of pregnancy, followed by a daughter at 31 weeks, five weeks later.
The mother conceived dizygotic twins through artificial insemination, but at 24 weeks of pregnancy, an abnormality occurred in the cervix, leading to cervical surgery to prevent premature birth. However, six days after the surgery, the sutures came undone, causing the amniotic sac to rupture. Due to the risk of infection, the male twin was delivered first in an emergency. At birth, the son weighed only 730g and received intensive care in an incubator.
At that time, the medical staff judged that delivering the daughter together would make survival more difficult, so they allowed her to continue growing in the womb. Meanwhile, at 31 weeks of pregnancy, the mother showed severe symptoms of preeclampsia. Ultimately, the medical team decided to deliver the daughter by cesarean section for the safety of both mother and fetus. The daughter was safely born weighing 1.2 kg and, like her brother, received intensive care.
The twins, who have been receiving intensive care for over a month, have improved to the point where the son weighs 2.3 kg and the daughter weighs 2.5 kg. The son is still receiving intensive care in the neonatal unit but is expected to meet his mother and family soon.
Meanwhile, last month, it was reported that a delayed interval twin birth with a 111-day gap was successfully achieved in Taiwan, attracting attention. On the 24th of last month, local Taiwanese media such as China Times reported that Ms. Guan, a woman in her 40s, gave birth naturally to her second twin at Guotai Hospital on October 10.
Ms. Guan had previously given birth to a daughter through in vitro fertilization at age 34, six years ago. She then became pregnant with twins through a second IVF procedure, but at 19 weeks of pregnancy, after traveling abroad, she experienced premature rupture of membranes and lost the first twin. Ms. Guan was hospitalized for three weeks to receive antibiotic treatment for the remaining second twin. She continued weekly hospital visits and successfully delivered the second twin naturally at 36 weeks on October 10.
Regarding this case, Dr. Chen Lijin, head of obstetrics at Guotai Hospital, who was in charge of the delivery, explained, "When preterm labor occurs in twin pregnancies, continuous delivery usually happens within 24 hours," adding, "This case is quite rare." Dr. Chen also stated that internationally, there have been only 82 successful cases of delayed interval twin births. He added, "(Delayed interval twin birth) has a success rate of about 1 in 10,000," and "The longest record to date is 154 days in Portugal."
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