Philippine Journal of Anesthesiology 2007;19(2):78-82

Subarachnoid block for abdominal delivery of conjoint twins

Hilvano Anna Margarita F.

Country

Philippines

Language

Filipino

Abstract

Conjoint twins are rare anomalies unique to multiple prgnancies. this rare conditions occurs in 1:200 monozygotic twin pregnancies, 1:900 twin pregnancies and 1:25,0000 to 100,000 births. Data regarding rare obstetric anomaly is sparse and intrapartal management is all the more lacking. This is a case report of a 39-years-old, multigavid woman was diagnosed to have conjoint twins based on early ultrasound findings. On her 37th week of gestation she was admitted for elective cesarean section. Abdominal delivery was done under spinal anesthesia with bupivacaine hyperbaric 0.5% 15 mg with morphine sulfate 0.032%. The male conjoint twins were delivered via primary classical incision. The monochorionic, mono-amniotic placenta was manually extracted one minute after delivery with no gross abnormalities. Both babies has apgar scores of 9 remaining 9 at 1 and 5 minutes. they had an agregate weight of 4000 grams and were assessed to be 37 weeks by pediatric aging.