A vanishing twin, or foetal resorption, is a foetus in a multi-gestation pregnancy which dies in-utero and is then partially or completely reabsorbed. Single foetal death in the second and third trimester is associated with a higher risk of maternal and foetal morbidity and mortality in the first trimester. The most dreaded maternal complication is Disseminated Intravascular Coagulation (DIC) while the surviving co-twin may be at risk of demise in the same intrauterine environment. This case decribes challenges in management of a second trimester single intrauterine foetal death in a Dichorionic diamniotic (DC) twin pregnancy in a resource-limited setting which resulted in spontaneous vaginal delivery at term with no identified maternal or foetal complications. The management in a limited resource setting is challenging. The risk of prematurity should be weighed against the risk of keeping the surviving co-twin in the same intrauterine environment and management should include psychosocial support. Keywords: single foetal death; twin pregnancy; case report.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.