Successful Conservative Management of Premature Rupture Membranes of Twin Pregnancy with one Fetus Papyraceus
Keywords:twin pregnancy, fetus papyraceus, premature rupture membranes.
Fetus papyraceus is a rare obstetrics complication and is characterized by the death of one or more fetuses in
the early gestation period, and the other fetus continues to develop. This report describes a twin pregnancy
with one fetus papyraceus and both undergone premature membrane rupture. We reported a 25-year-old
woman unbooking patient admitted to the Pusura hospital with a complaint of amniotic fluid leaking from
the vagina after a traffic accident. The patient is a woman with a history of G2P1A0 at 22-week gestation
with twin pregnancies (monochorionic diamniotic twin pregnancy). There was one live fetus with cephalic
presentation and the other one was papyraceus. Conservative management with a corticosteroid regimen
to complete the lung maturation was done. At 32-week gestation, the patient was admitted back with
spontaneous rupture membranes and the live fetus was seen in lie presentation. She underwent a caesarian
section and a premature life female baby was delivered with 1800g of weigh, APGAR score of 7 at 1 minute
and 8 at 5 minutes. The fetus papyraceus was weighed 100g. Both the mother and the baby were discharged
home in good condition. Fetus papyraceus is a rare condition that describes intrauterine fetal demise in early
pregnancies. It can occur in both single or multiple gestation pregnancies. This case report reported case is a
premature rupture of the membranes caused by a traffic accident. A life baby weighing 1800g was delivered
and 100g of weigh of fetus papyraceus in a caesarian section. This case is a diamniotic – monochorionic
placenta. Finally, the healthy baby was discharged 18 days after delivery.
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