# Dichorionic Diamniotic Twin Reduction Surviving the Odds: A Case Report

## TL;DR

A 19-year-old woman's twin pregnancy was reduced to a singleton after one twin died, but the remaining baby was successfully carried to full term with extraordinary care.

## Contribution

This case report highlights an unusual successful outcome in a high-risk singleton pregnancy following twin reduction.

## Key findings

- One twin died after membrane rupture at 8 weeks, leading to fetal demise at 19 weeks.
- The remaining fetus was carried to full term despite poor prognostic indicators.
- Extraordinary measures contributed to the successful singleton delivery.

## Abstract

A 19-year-old woman presented with reduction of twin pregnancy to singleton pregnancy when premature rupture of the membrane of one dichorionic diamniotic twin at eight weeks of gestation led to premature delivery and fetal demise at 19 weeks of gestation. Despite reactive stress tests performed 11 weeks after rupture of membranes, baby A was delivered via spontaneous vaginal delivery and demised without the assistance of uterotonic medications. Although professional options and limited studies suggested a poor outcome for the remaining fetus, extraordinary measures performed led to a successful, full-term singleton pregnancy.