Successful delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a twin pregnancy / 영남의대학술지
Yeungnam University Journal of Medicine
; : 135-139, 2018.
Article
em En
| WPRIM
| ID: wpr-787080
Biblioteca responsável:
WPRO
ABSTRACT
There has been a significant increase in the number of multiple pregnancies that are associated with a high risk of preterm delivery among Korean women. However, to date, delayed-interval delivery in women with multiple pregnancy is rare. We report a case of delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a dichorionic diamniotic twin pregnancy. The patient presented with vaginal leakage of amniotic fluid at 16 weeks of gestation and was diagnosed with a preterm premature rupture of membranes. Three days later, the first twin was delivered, but the neonate died soon after. The second twin remained in utero, and we decided to retain the fetus in utero to reduce the morbidity and mortality associated with a preterm birth. The patient was managed with antibiotics and tocolytics. Cervical cerclage was not performed. The second twin was delivered vaginally at 34 weeks and 5 days of gestation, 128 days after the delivery of the first-born fetus. This neonate was healthy and showed normal development during the 1-year follow-up period. Based on our experience with this case, we propose that delayed-interval delivery may improve perinatal survival and decrease morbidity in the second neonate in highly selected cases.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Gravidez Múltipla
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Ruptura
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Gêmeos
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Tocolíticos
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Seguimentos
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Mortalidade
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Cerclagem Cervical
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Nascimento Prematuro
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Feto
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Gravidez de Gêmeos
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
En
Revista:
Yeungnam University Journal of Medicine
Ano de publicação:
2018
Tipo de documento:
Article