%0 Journal Article %T Twin Pregnancy with Omphalocele: Challenges in Detection and Management %A Aditya Wibowo %A Muhammad Alamsyah Aziz %A Adhi Pribadi %A Akhmad Yogi Pramatirta %A Herman Sumawan %A Aria Yusti Kusuma %J Open Journal of Obstetrics and Gynecology %P 515-519 %@ 2160-8806 %D 2022 %I Scientific Research Publishing %R 10.4236/ojog.2022.126045 %X Twins are more likely to have congenital anomalies than singletons. Omphalocele is still a life-threatening congenital abnormality that requires adequate antenatal diagnosis and early treatment. A 31-year-old woman presented with labor pains in the eighth pregnancy month. There was a clear, watery discharge from the birth canal 4 hours before admission. She was previously diagnosed with twins, with one cotwin having suffered omphalocele through a 6-month-ultrasound examination. At admission, the condition was diagnosed as monochorionic-diamniotic twins at 32 - 33 weeks in the 2nd stage of labor: the first baby cephalic presentation; second breech presentation with omphalocele. She vaginally gave birth to twin infants, with those having Apgar 5กฏ of 6/7, respectively. Both infants were admitted to the intensive care unit and under treatment. %K Spontaneous Delivery %K Twin Pregnancy %K 2nd Baby Breech Presentation %K Monochorionic Diamniotic %K Omphalocele on 2nd Baby Case Report %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=117945