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Case of a Live baby boy, delivered term to a G2P2 mother (no maternal illness) via CS secondary to Nonreassuring fetal heart rate pattern. Birthweight: 446kgs, AS:8,9. What causes true cord knot?

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A bit of a sensitive case but quite rare. A 26 year old woman came into labour Ward P1 G3, 29 week gestation with twins. She was unbooked and presented today. Poor obstetric history, previous fresh still birth and miscarriage. Of note was that there was cord presentation. So she was rushed into theatre with 6cm dilated cervix and a C-Section was performed. Conjoined twins, weight 1.8 kg, they had other malformations like an imperforate anus, ambiguous genitalia and fused arm/hand. Unfortunately they passed away. Mother received counseling and psychological support from the hospital.

G2P1 with Vasa Previa at 35 weeks. Urgent cesarean section for occasional variable decelerations. Mom and baby are both well on POD2.

Velamentous cord insertion. Stat cesarean section for placental abruption. ~80% of placenta had detached. Baby and mother are alive.

This is a case of a 22 y/o, G1P0, pregnancy uterine, at 28 2/7 weeks AOG who came in due to preterm labor. Patient delivered vaginally to a live preterm baby girl and an abortus (shown above) that was comparably smaller than the other twin. Multifetal pregnancy that is MoDi was unknown to the mother due to lack of prenatal care. Probably a case of twin to twin transfusion syndrome.