Complications of a twin pregnancy: a video
Keywords: video, Thoroughbred, twins, complications, physiology, anatomy, placentation
An excellent teaching case, incorporating many examples of physiology, management, pathology, anatomy, obstetrics and neonatology.
This video exemplifies the need to diagnose twins early in gestation. It covers two methods of reducing twins to singlets, shows how twins can be diagnosed or missed in late in gestation and demonstrates the need for inducing foaling in some cases. It also illustrates how to decide when induction should occur and how to induce foaling. A case of premature placental separation is illustrated, preceding the delivery of twin foals. There is also a bizarre variation of placental development. The case ends tragically with euthanasia of both foals as early neonates.
