Introduction:
We present a case of twin survivors, born at the edge of viability,
without any major morbidities, and despite unfavorable
factors.1,2 We believe that they are one of the
youngest twin survivors ever reported and the only twins without major
complication for both. The risk factors for them included twin birth,
male sex of the second twin who had birth weight of less than 500 g,
poor antenatal care, late administration of steroids, and prolonged
maternal rupture of membranes with chorioamnionitis. Since the twins
were conceived via in vitro fertilization (IVF), the gestational age
could be confirmed as 22 2/7 weeks. However, neither infant developed
serious complications, such as intraventricular hemorrhage or
necrotizing enterocolitis.
In this report, we share our experience in the United Arab Emirates and
reflect on how the advances in management strategies have decreased the
viability threshold to 22 weeks. This case added to our expertise and
our clinical and communication protocols. It has changed our perspective
on resuscitation near viability and has led to a shift toward
considering more active resuscitation in our perinatal discussions with
parents