Hysterotomy and selective delivery of an intrauterine dead fetus to prevent intrauterine death or brain damage of the surviving fetus in monochorionic twin pregnancy.

When pregnancy is continued after death of one fetus in monochorionic twin pregnancy, the surviving fetus sometimes exhibits intrauterine death or brain damage. Hysterotomy and selective delivery of an intrauterine dead fetus was performed in order to prevent intrauterine death or brain damage of the surviving fetus at 24 weeks' gestation in a monochorionic twin pregnancy. The healthy baby except for immaturity was born at 30 weeks' gestation, and exhibited no brain damage postnatally. When one fetus has died in utero before maturity of surviving fetus, hurried selective delivery of dead fetus should be one of the useful treatments to prevent intrauterine death or brain damage of the surviving fetus in monochorionic twin pregnancy.