Labour Enhanced.. Fatat Twin Pregnancy.. Emergency Caesarean Section

April 7th

It was confirmed at Theatre two weeks ago that the second twin of this unfortunate mother was macerated. Our first incline came an hour earlier when it was noticed, a life-less little hand gone all blue and cold, protruding out of the mother's vagina. The other twin was alive.

The poor mum had been on admission about a week or so prior to the incident, as a case of Twin pregnancy at 8 months gestation in a once previous Caesarean Section, and with one twin persistently in Transverse lie.

Post-operatively, both mother and surviving twin have continued to stay in good health.

April 6th

Women have achieved normal delivery more readily, so I have observed on record, when labour is allowed to progress unaided for as long a time as possible.

Such is the case when at advanced labour, say 8 - 9cm cervical dilatation, a patient arrives at the hospital haven laboured at home for quite a while, and will soon be delivered of her baby with relatively more ease.

The baby then seems to fall out, plop!

The mother is usually left with little or no vulval tear or without the need for an episiotomy.

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