ABSTRACT Delayed‐interval delivery refers to the delivery of the remaining fetus(es) at least 24 h after the delivery of the first fetus. There have been limited case reports of delayed‐interval deliveries in twin pregnancies whose delivery of the first twin occurred in the early second trimester. We report a delayed‐interval delivery of a dichorionic diamniotic pregnancy complicated by multiple fibroids. A 38‐year‐old primipara woman delivered the first twin at 15 weeks and 3 days of gestation. She did not have uterine contractions or any signs of infection, then McDonald cerclage was performed at 17 weeks and 1 day of gestation. At 27 weeks and 2 days of gestation, the second twin, 922 g, was delivered by caesarean section after premature rupture of membranes. Delayed‐interval delivery may be considered in the early second trimester if there is no evidence of uterine contractions or infection, even in patients at risk for preterm birth.
Suzuki et al. (2026) studied this question.