Technical Challenges of a Term Delivery in a Separated Ischiopagus Twin

Conjoined twins occur in one in 100,000 live births. Successful term pregnancy in a separated conjoined twin is rare. We present a 27-year-old woman, gravida 2 para 0, former ischiopagus conjoined twin with successful separation at 12 days of life. We report a successful term gestation delivered by cesarean without complications. Term pregnancy is possible in a previous conjoined twin patient having undergone surgical separation. We recommend a multidisciplinary approach with close evaluation of maternal anatomy to achieve a successful pregnancy outcome while minimizing the risk of complications.