Patient is a 27-year-old G2P1001 from Michigan, found to have spontaneous dichorionic diamniotic twin gestation in the setting of known uterine didelphys, with a twin localized to each uterine horn. Both twins were affected by severe fetal growth restriction, and the patient ultimately delivered via cesarean section at 29 weeks gestation, secondary to HELLP syndrome. Cesarean section was complicated by fetal malpresentation, requiring T-incision, and elevated quantitiate blood loss of 1400 mL.
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Madeline et al. (2024) studied this question.
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