A 15-year-old Syrian teenager with a twin pregnancy and having labor contractions was taken to the border with Israel, and arrangements were made with the Israel Defense Forces to transfer her to the Ziv Medical Center, Zefat, Israel. This was her first pregnancy, and by her LMP, she was 40.3 weeks. She had poor prenatal care with no prenatal testing at all. It was known that she was G6PD deficient. The remainder of her history was unremarkable.

Upon arrival at the hospital, both fetuses had normal monitoring, and there were irregular uterine contractions. The cervix was dilated to 2.5 cm with 80% effacement. Ultrasound showed the lie was transverse for both fetuses.