What should we do to optimise outcome in twin pregnancy complicated with XXXX ? A case report.

@entity1 @entity548 @entity5028 @entity1661 @entity281 @entity8052
BACKGROUND: @entity1 with @entity5028 ( @entity5028 ) are under risk of @entity548 . It readily necessitates very complicated surgery and massive blood transfusion, and even leads to mortality. Cesarean hysterectomy (CH) is the procedure that is acknowledged worldwide, since it helps to minimize complications. CASE PRESENTATION: A @entity1 with dichorionic twin pregnancy underwent to cesarean section (CS) due to preliminary diagnosis of @entity8052 at her 35(th) week of pregnancy. Both of the placentas were left in situ. The @entity1 admitted with signs of @entity281 . @entity1661 was performed 7  weeks after CS. In the course of hysterectomy, 3 units of erythrocyte suspension and 2 units of fresh frozen plasma were transferred, whereas none was required during CS. CONCLUSION: Abandoning placenta in situ seems to be a logical alternative to the CH in @entity1 with @entity8052 in order to minimize complications related to massive blood transfusion and surgical technique. However, it appears to increase maternal morbidity due to maternal @entity281 in twin pregnancy.
