Locked twins: Difference between revisions
CSV import |
CSV import |
||
| Line 1: | Line 1: | ||
{{Infobox medical condition | |||
| name = Locked twins | |||
| synonyms = Interlocked twins | |||
| field = [[Obstetrics]] | |||
| symptoms = Difficulty in delivery | |||
| complications = [[Fetal distress]], [[birth asphyxia]], [[neonatal death]] | |||
| onset = [[Pregnancy]] | |||
| duration = Until delivery | |||
| causes = [[Multiple pregnancy]], [[breech presentation]] | |||
| risks = [[Uterine rupture]], [[maternal hemorrhage]] | |||
| diagnosis = [[Ultrasound]], [[physical examination]] | |||
| differential = [[Cephalopelvic disproportion]], [[shoulder dystocia]] | |||
| prevention = [[Prenatal care]], [[planned cesarean section]] | |||
| treatment = [[Cesarean section]], [[obstetric maneuvers]] | |||
| frequency = Rare | |||
}} | |||
'''Locked twins''' is a term used in [[obstetrics]] to describe a rare and serious complication during the [[birth]] of [[twins]]. This occurs when the chin of the second twin locks over the occiput of the first twin, making it difficult for both babies to be delivered vaginally. | '''Locked twins''' is a term used in [[obstetrics]] to describe a rare and serious complication during the [[birth]] of [[twins]]. This occurs when the chin of the second twin locks over the occiput of the first twin, making it difficult for both babies to be delivered vaginally. | ||
== Causes == | == Causes == | ||
The exact cause of locked twins is not known, but it is thought to be related to the position of the babies in the [[uterus]]. It is more likely to occur if the first twin is in a [[breech position]] (bottom first) and the second twin is in a [[vertex position]] (head first). | The exact cause of locked twins is not known, but it is thought to be related to the position of the babies in the [[uterus]]. It is more likely to occur if the first twin is in a [[breech position]] (bottom first) and the second twin is in a [[vertex position]] (head first). | ||
== Diagnosis == | == Diagnosis == | ||
Locked twins can be diagnosed during labor by a [[physical examination]] or [[ultrasound]]. The healthcare provider may feel the chin of the second twin locked over the occiput of the first twin. An ultrasound can confirm the diagnosis. | Locked twins can be diagnosed during labor by a [[physical examination]] or [[ultrasound]]. The healthcare provider may feel the chin of the second twin locked over the occiput of the first twin. An ultrasound can confirm the diagnosis. | ||
== Complications == | == Complications == | ||
Locked twins can lead to serious complications for both the mother and the babies. These can include [[prolonged labor]], [[fetal distress]], and [[birth asphyxia]]. In some cases, it may be necessary to perform a [[cesarean section]] to deliver the babies safely. | Locked twins can lead to serious complications for both the mother and the babies. These can include [[prolonged labor]], [[fetal distress]], and [[birth asphyxia]]. In some cases, it may be necessary to perform a [[cesarean section]] to deliver the babies safely. | ||
== Treatment == | == Treatment == | ||
The treatment for locked twins depends on the specific circumstances. If the condition is diagnosed early in labor, it may be possible to manually manipulate the position of the babies to unlock them. This is known as [[external cephalic version]]. If this is not successful, a cesarean section may be necessary. | The treatment for locked twins depends on the specific circumstances. If the condition is diagnosed early in labor, it may be possible to manually manipulate the position of the babies to unlock them. This is known as [[external cephalic version]]. If this is not successful, a cesarean section may be necessary. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for locked twins depends on the severity of the condition and the timing of the diagnosis. With early diagnosis and appropriate treatment, the outcome for both babies can be good. However, if the condition is not diagnosed or treated promptly, it can lead to serious complications. | The prognosis for locked twins depends on the severity of the condition and the timing of the diagnosis. With early diagnosis and appropriate treatment, the outcome for both babies can be good. However, if the condition is not diagnosed or treated promptly, it can lead to serious complications. | ||
== See also == | == See also == | ||
* [[Twin]] | * [[Twin]] | ||
* [[Multiple birth]] | * [[Multiple birth]] | ||
* [[Obstetric complications]] | * [[Obstetric complications]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Twin]] | [[Category:Twin]] | ||
{{medicine-stub}} | {{medicine-stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 00:07, 4 April 2025
| Locked twins | |
|---|---|
| Synonyms | Interlocked twins |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Difficulty in delivery |
| Complications | Fetal distress, birth asphyxia, neonatal death |
| Onset | Pregnancy |
| Duration | Until delivery |
| Types | N/A |
| Causes | Multiple pregnancy, breech presentation |
| Risks | Uterine rupture, maternal hemorrhage |
| Diagnosis | Ultrasound, physical examination |
| Differential diagnosis | Cephalopelvic disproportion, shoulder dystocia |
| Prevention | Prenatal care, planned cesarean section |
| Treatment | Cesarean section, obstetric maneuvers |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Rare |
| Deaths | N/A |
Locked twins is a term used in obstetrics to describe a rare and serious complication during the birth of twins. This occurs when the chin of the second twin locks over the occiput of the first twin, making it difficult for both babies to be delivered vaginally.
Causes[edit]
The exact cause of locked twins is not known, but it is thought to be related to the position of the babies in the uterus. It is more likely to occur if the first twin is in a breech position (bottom first) and the second twin is in a vertex position (head first).
Diagnosis[edit]
Locked twins can be diagnosed during labor by a physical examination or ultrasound. The healthcare provider may feel the chin of the second twin locked over the occiput of the first twin. An ultrasound can confirm the diagnosis.
Complications[edit]
Locked twins can lead to serious complications for both the mother and the babies. These can include prolonged labor, fetal distress, and birth asphyxia. In some cases, it may be necessary to perform a cesarean section to deliver the babies safely.
Treatment[edit]
The treatment for locked twins depends on the specific circumstances. If the condition is diagnosed early in labor, it may be possible to manually manipulate the position of the babies to unlock them. This is known as external cephalic version. If this is not successful, a cesarean section may be necessary.
Prognosis[edit]
The prognosis for locked twins depends on the severity of the condition and the timing of the diagnosis. With early diagnosis and appropriate treatment, the outcome for both babies can be good. However, if the condition is not diagnosed or treated promptly, it can lead to serious complications.
