A 37-year-old woman presents in the clinic at 18 weeks gestation. She is G2P1 having had a spontaneous vaginal delivery at term 8 years ago. This current pregnancy was achieved through in vitro fertilization after four attempts (cycles). Two embryos were implanted. The first-trimester scan confirmed a twin gestation and noted a lambda sign between the gestation sacs. The anomaly scan is due in 2 weeks.
So far, the woman has been feeling nauseated and tired but well. Examination: P: 120/70 mmHg Fundus: palpable 2 cm above the umbilicus. Two separate fetal hearts are heard on handheld fetal doppler, one 143/min, the other 130/min. How will you manage this patient? *This case is from Docplexus editorial team for educative purpose only Source: 100 cases on obstetrics and gynaecology Stay connected, the answer will be posted in next 48 hrs!
