Q. What is the chance of survival of premature twins born at 25 weeks?

Answered by
Dr. Amit Modi
and medically reviewed by iCliniq medical review team.

Hi doctor,

I prematurely gave birth to twins on the 18th at 25 weeks and two days. The reason behind it was told to me that my regular gynecologist did not put some closure on my uterus to avoid premature birth, which is a common issue in twins. Mine was a normal delivery. My boy was born at 865 g and girl at 585 g. They have now survived for over 45 hours in the NICU. The doctors have just been telling me that the children are alive and breathing. That is all they tell me. I am still very worried. What are the chances of such children to survive in NICU after they have survived for several hours in most odd conditions? I know they are going through the toughest challenges to breathe through their underdeveloped body but I still want to get a generic view. All their body parts have been found to be growing and fine in the last level-2 ultrasound.

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Dr. Amit Modi

Child Health Paediatrics


Welcome to icliniq.com.

Both your babies are extremely premature as well as extremely low birth weight. The main complication that arises is due to incomplete development of lung. So, immediate surfactant therapy and oxygen support would be required.

The next common complication is sepsis. Complete asepsis is to be maintained. Tertiary level NICU (neonatal intensive care unit) care which should be handled by qualified neonatologist is the primary requirement. A complete aseptic environment is to be created.

In my practice, I have very mixed experience in the prognosis. I have seen these babies succumbing mainly to the sepsis.

As per me, the baby with more weight has a better prognosis. It also depends on the level of NICU care being provided.

For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Hello doctor,

Thank you so much. The babies are kept in the NICU at a reputed center, and doctors were talking about temperature and all. I guess it is just left for me to wait.

Dr. Amit Modi

Child Health Paediatrics


Welcome back to icliniq.com.

It is good that they have a good NICU setup. I am sure their doctors will do their best.

You should just wait and watch. The doctors must convey the development to you as per their time.

For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Also Read Answers From: Premature Baby Twin Pregnancy Complication

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