@article{3180359,
    title = "Delayed interval delivery of the second twin in a woman with altered
markers of inflammation",
    author = "Daskalakis, George and Fotinopoulos, Panagiotis and Pergialiotis, and Vasilios and Theodora, Mariana and Antsaklis, Panagiotis and Sindos, and Michail and Papantoniou, Nikolaos and Loutradis, Dimitrios",
    journal = "BMC Pregnancy and Childbirth",
    year = "2018",
    volume = "18",
    publisher = "BioMed Central Ltd.",
    issn = "1471-2393",
    doi = "10.1186/s12884-018-1848-4",
    keywords = "Intertwin; Delayed; Delivery; Monitoring; Inflammation",
    abstract = "Background: Delayed interval intertwin delivery rates are expected to
rise during the next years as potent and targeted tocolytic agents are
employed and antenatal surveillance methods become more sophisticated
and specific in predicting the critical delivery timepoint of optimal
perinatal outcome.
Case presentation: We present a case of delayed intertwin delivery after
delivery of the first twin due to premature prelabor rupture of the
membranes. Maternal serum White Blood Cells and C-Reactive Protein
levels remained high until delivery of the second twin (34 days after
the first was delivered), although maternal temperature remained
constant. The mother underwent close antenatal surveillance and she was
hospitalized. She had an uncomplicated delivery of the second twin at
29(+2) weeks by cesarean section due to an abnormal Non-Stress Test.
Conclusion: We strongly suggest future evaluation of maternal serum
inflammatory markers among these rare cases as these could predict
intraamniotic infection."
}