Selektive Schwangerschaftsbeendigung durch Sectio parva in der 24. Schwangerschaftswoche bei diskordanter Zwillingsgravidität und Spontangeburt eines gesunden Kindes am Termin

Abstract

In a twin pregnancy of a 25-year-old woman one fetus was a normal male, while the other had hydrocephalus (6 mm thick pallium in the 23rd week) and a neural-tube defect in the thoracic-lumbar region. The abnormal fetus was removed by minor section in the 24th week, after which the normal one developed without complication. A healthy boy, weighing 3050 g and 52 cm long, was delivered spontaneously in the 39th week. Palpation of the uterus revealed a dehiscence, covered by muscle, in the region of the uterotomy scar, but it required no revision.