TITLE:
Report of a New Case of Interlocking Heads in a Breech-Vertex Twin Delivery: A Conversation with My Residents
AUTHORS:
Mamour Gueye, Mouhamadou Wade, Aissatou Mbodji, Mame Diarra Ndiaye, Ndiémé Mbaye, Mor Talla Ndiaye, Rahadat Ibrahim, Amadou Lamine Cisse, Aliou Djiby Dia, Aliou Cisse, Moussa Diallo, Omar Gassama, Ousmane Thiam, Magatte Mbaye
KEYWORDS:
Interlocking Heads, Breech Presentation Twins, Recommendations
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.1,
January
22,
2021
ABSTRACT: “Locked
twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old
primigravida with a 31-week twin pregnancy was admitted for delivery. The head
of the first twin was locked to the chin of the second twin at the top of the
symphysis pubis. Caesarean section was performed allowing the delivery of both
dead twins. Twins gestations with first twin in the breech presentation raise index of suspicion of potential
locked twin. However, management of such situation is controversial with
most authors and colleges recommending
caesarean section to avoid interlocking heads. We report another rare
case of interlocking heads and bring up the topic about management of
breech-first twin deliveries.