Twin Pregnancy with Intrauterine Fetal Demise

Abstract

Multiple gestations are very commonly associated with higher rates of every complication of pregnancy with the exception of postterm pregnancy and macrosomia. It, therefore, increases the risk of perinatal morbidity and mortality as compared with singleton pregnancies. Fetal loss in twin gestation involves the various factors and is an unfortunate event, which is uncommon. The incidence of single fetal death in twin gestation is 2.5%–5.0% as compared to 0.3%–0.6% in singleton pregnancy. The presence of death twin in rare occasions creates a hostile environment for the surviving twin. This may lead to most feared complication like disseminated intravascular complication, which is fatal to both the mother and the surviving twin. Hence, the early detection of fetal demise in multiple gestations is important as they carry all potential obstetric complications.