Objective Single intrauterine fetal death (sIUFD) occurs in approximately 6% of twin pregnancies. If it occurs in the second and third trimesters, it places the co-twin at substantial risk, including that of preterm delivery and associated comorbidities of prematurity or neonatal death. The aim of this present study was to determine the outcome of surviving co-twins following spontaneous single intrauterine fetal death. Methods This is a retrospective, observational, cohort study that included all twin pregnancies delivered between January 2015 to December 2019 with a gestational age of 24 weeks or more. Maternal data included were: age, medical illnesses, conceivable methods, chorionicity, and complications during pregnancy. Gestational age of intrauterine fetal demise, gestational age of the surviving twin delivery, mode of delivery, and medications used during pregnancy were also recorded . Neonatal data included: gestational age, gender, birth weight, Apgar score, and complications of prematurity. Results Twenty-two pregnancies were found to be complicated by sIUFD and included in the present study (group 1), compared to 26 twins with no sIUFD (group 2). The incidence of sIUFD in twin pregnancies after 20 weeks of pregnancy was 4.4%. The gestational age (weeks) in group 1 was 34.5 (29-39) and in group 2 was 32 (26-38). The frequency of preterm delivery 81.8% in group 1 (59% monochorionic) and 69.2% (100% dichorionic) in group 2. No significant statistical differences were found between the two groups in complications of prematurity. Conclusions We conclude that delaying delivery in twin pregnancies complicated by single intrauterine demise with regular follow-up may lead to delivering infants with fewer complications of prematurity.

Background: Women awareness and full knowledge about using contraception methods and their side effects given by health care providers are important for satisfaction and compliance. Dissatisfaction with contraceptive methods may lead to unplanned pregnancies. Objectives: To evaluate using contraception, and methods, satisfaction about current used contraceptive methods, women satisfaction with their knowledge about contraception's and feedback of women regarding suggestions to improve health care education for women using contraception. Design: Cross sectional population-based survey study. Results: 2179 women completed the survey. A 1740 women reported using contraception (79.85 Percentage of sample), while 438 women are not using any contraception (20.14 Percentage). In total of 24.42 Percentage of contraception's are not prescribed by health care provider. Most of the user satisfied with combined oral contraception then cupper intra uterine device. 54.48 Percentage of surveyed women asked for enough time to discuss with physician about contraception. Conclusions: The women are Saudi Arabia needs more contraception counseling and education. It should include the husband during counseling and education regarding contraception. The health care provider needs to be well informed about updates in the medical practice and inform their patients accordingly. We suggest national program for women health care and family planning education.

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