{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T18:43:36Z","timestamp":1768243416062,"version":"3.49.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,31]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Conjoined twins are rare, occurring in 1 in 250\u2009000 live births, with cephalopagus twins reported in 1 in 3\u2009000\u2009000 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.<\/jats:p>","DOI":"10.1136\/bcr-2025-267833","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T15:30:14Z","timestamp":1768231814000},"page":"e267833","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-centred care of cephalo-omphalopagus conjoined twins"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1140-1507","authenticated-orcid":false,"given":"Monica A","family":"Lutgendorf","sequence":"first","affiliation":[{"name":"Gynecologic Surgery and Obstetrics, F Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA"},{"name":"Naval Medical Center San Diego, San Diego, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Mugford","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine, Winston-Salem, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin R","family":"Kocol","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"2026011207300680000_19.1.e267833.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-004-0985-4"},{"key":"2026011207300680000_19.1.e267833.2","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420250306"},{"key":"2026011207300680000_19.1.e267833.3","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420450604"},{"key":"2026011207300680000_19.1.e267833.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90417-0"},{"key":"2026011207300680000_19.1.e267833.5","doi-asserted-by":"crossref","unstructured":"Wilson JG , Fraser FC . Handbook of teratology I. 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