{
  "abstract": "Conjoined twins are rare, occurring in 1 in 250 000 live births, with cephalopagus twins reported in 1 in 3 000 000 live births. In cases of conjoined twins, early diagnosis is crucial for the health of the mother and pregnancy management and counselling. We present a case of cephalo-omphalopagus conjoined twins, with imaging findings, delivery considerations and patient-centred care recommendations. A patient in her 30s, gravida 2 para 0, was transferred to our care after an anatomical ultrasound demonstrated fusion of the fetal heads, chests and abdomens. Due to a complex congenital heart defect with a shared heart, the family was counselled on the anticipated prognosis and management options. Twin girls were delivered at 34+4 weeks via caesarean delivery, and the family was able to spend time with them as desired. This case demonstrates that prenatal diagnosis is helpful, and family involvement through patient-centred care and shared decision-making can improve perceived outcomes.",
  "authors": [
    {
      "affiliations": [
        "Gynecologic Surgery and Obstetrics, F Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA",
        "Naval Medical Center San Diego, San Diego, California, USA"
      ],
      "name": "Monica A Lutgendorf"
    },
    {
      "affiliations": [
        "Wake Forest School of Medicine, Winston-Salem, North Carolina, USA"
      ],
      "name": "Hannah Mugford"
    },
    {
      "affiliations": [
        "Naval Medical Center San Diego, San Diego, California, USA"
      ],
      "name": "Dustin R Kocol"
    }
  ],
  "title": "Patient-centred care of cephalo-omphalopagus conjoined twins",
  "uid": "c5cb9ae0-ed1d-5d28-8790-fe48a9957725"
}