Conjoined Twins are extremely rare a birth defect and may be mistaken for interlocking of twins. In all cases of mono amniotic twins the possibility of conjoined twins , should be considered.
Antenatal Ultra sonography shows , both twins facing each other or on repeated examination heads are at same level and plane. The Thoracic cages are in unusual proximity . There is no change in relative foetus position with time or manipulation.
An X-Ray abdomen may be performed with radi-opaque dye in amniotic fluid to confirm diagnosis.
Spontaneous delivery may occur in extreme premature cases. Caesarean section offers a safe method of delivery for the mother and should be done , where the diagnosis is confirmed., usually obstructed labor is encountered. After Caesarean section , the outcome of foetus ,if alive is a big burden to the middle class families., If they can take risk / afford the cost of operation and outcome of operation may or may not be good., but one should be optimistic.
Otherwise the conjoined Twins are heaven for the foetus and hell for the life of the parents. , now they have to suffer particularly mother.
4 comments:
DR. MUKESH RAGHAV , I HAVE SEEN NUMBER OF CONJOINED TWINS, BUT THIS ONE IS COMMENDABLE. CAN I HAVE IT COPIED FOR MY ALBUM / BOOK. PLEASE ACCEPT MY REQUEST.
REGARDS.
Dr. Raghav, The details of twins and photo are good.I have gone through this type of phase and can understand the agony of the parents.
Nice article,
Regards
Dr.Mukesh , I appreciate your performance in the field. Usually obstetricians like me are in tension ,that we can not think of photos. It reflects that you are a good surgeon as well as good academician.
Heartfelt Regards.
Dr. Mukesh , The photo are true one or digitally made.
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