The rare delivery of conjoined twins.

July 9, 2013 10:52

The first baby girl had emerged from her mother's womb but couldn't detach from her mother's body; at the same time, the delivery team discovered the second baby had both arms and legs protruding, but her body remained inside the womb in a horizontal position. The obstetrician was startled, realizing the two babies were conjoined.

The babies were fortunately born naturally on July 1st, considered a miracle for Vietnamese medicine. This is the first time conjoined twins have been born without surgery, and it happened at a provincial hospital in the Central Highlands. Their mother is 31-year-old Y Oi, from Vinh Quang commune, Kon Tum city.


Two conjoined twin girls were born in Kon Tum.

A week has passed, and obstetrician Hoang Van Trung is still overjoyed after successfully delivering two healthy babies. On June 30th, pregnant woman Y Oi was admitted to the hospital for her third childbirth. Ultrasound results diagnosed a full-term twin pregnancy, head-first presentation, and labor. There were no signs of conjoined twins. The doctor decided that Ms. Oi should have a normal delivery. On the afternoon of July 1st, the pregnant woman experienced labor pains, and her cervix dilated to 7 centimeters. The medical staff administered intravenous fluids to increase contractions and facilitate a normal delivery.

Dr. Trung recalled that at around 5:40 PM that day, the first baby girl emerged from her mother's womb, but unfortunately, she couldn't detach from her mother's body. At this point, the delivery team discovered that the second baby had both arms and legs protruding, but her body was still inside her mother's womb in a horizontal position.

"Witnessing this scene, I and the three midwives were startled when we realized the two babies were conjoined," the doctor said. He added, "If the ultrasound had confirmed they were conjoined twins, a cesarean section would have been recommended, as a normal delivery would have been too dangerous. However, at this moment, we couldn't think too much; the priority was saving three lives."

The midwives said that at that moment, the doctor racked his brains, trying to recall the knowledge he had learned in school to respond to the situation. Although he had read about similar cases before, the reality before him—and the reality of three lives—made the doctor sweat profusely, even though the delivery room was kept cool. The entire team was nervous and anxious, but Dr. Trung constantly reminded everyone to remain calm and do everything possible to ensure the safety of the mother and the babies.

The doctor carefully reached into the mother's abdomen to manually rotate the remaining baby from a transverse to a breech position. Once the rotation was successful, he performed a major cephalic version (pulling the baby out by the legs). A few minutes later, the second baby was born. The baby was slightly asphyxiated. Having been alerted beforehand, doctors from the Pediatrics and Intensive Care Unit immediately responded by suctioning mucus and providing oxygen. Shortly afterward, the second baby's complexion returned to normal. Each baby weighed 2.7 kg.

The successful delivery left the obstetrician, with 12 years of experience, sleepless for several nights due to overwhelming happiness. He said, "I've successfully delivered twins and even triplets before, but this one made me incredibly happy, a happiness that's hard to describe." "Fortunately, it was a success beyond all expectations," the doctor added.

After a terrifying childbirth experience, she recounted that this third birth was different from the previous two because the labor pains were much more intense. During the pregnancy, she was also more tired, and her right side of her abdomen was always tense and hard because both babies were positioned there. She didn't realize her babies were conjoined until all three were safely delivered. Because the two babies were conjoined, she couldn't breastfeed normally and had to express milk into two separate bottles to feed them. The babies also needed formula because she didn't produce enough milk.

The twins are currently being cared for at the Pediatrics Department of Kon Tum Provincial General Hospital. According to the hospital's leadership, the conjoined twins' condition is not complicated, and the hospital is likely able to perform the separation surgery. This is the first time the hospital has performed surgery to separate conjoined twins, so they have invited colleagues from Children's Hospital 2 in Ho Chi Minh City to assist.

The surgery to separate the conjoined twins is scheduled to take place today.


According to VnExpress - TH

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The rare delivery of conjoined twins.
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