Parto a término del segundo gemelo tras parto inmaduro del primero

We report the case of a spontaneous twin gestation in a 42-year-old who presented with premature labor of the first twin at 22 weeks' gestation. Conservative management was followed, consisting of prophylactic antibiotics, corticosteroids for lung maturation and bed rest in hospital, without the use of cerclage or tocolysis. As a result, gestation was prolonged until week 38 when vaginal birth of a healthy second twin occurred.