A Rare Triple Challenge: IVF Twin Pregnancy with Cervical Cerclage, Preterm Labor, and Severe Sepsis

Abstract

IVF-conceived twin pregnancies are high-risk pregnancies which should be managed under a high-risk obstetrics team; and this care should be further escalated to multidisciplinary team including ICU Intensivists especially when it becomes associated with life-threatenening complications. Here we are discussing a similar high-risk IVF-conceived twin pegnancy which landed into preterm labour and severe sepsis associated with multiple organ dysfunction syndrome (MODS), necessitating ICU care. Further, role of cervical cerclage in multiple pregnancy is unclear due to associated risks of going into preterm labour leading to cervical tear &/or avulsion, if not attended in-time.