Document Detail


Conservative management of triplet pregnancy after delivery of one foetus.
MedLine Citation:
PMID:  10918617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper intends to demonstrate that the conservative management of triplet pregnancy after delivery of one foetus is a feasible and reasonable approach. Three cases of triplet pregnancy with successful conservative management after miscarriage of one foetus, are presented and compared with cases in the literature. The route of delivery, as well as the role of tocolysis, cerclage, prophylactic antibiotic therapy and corticosteroids are discussed. Guidelines for conservative treatment are proposed. The deliveries of our three pregnancies were delayed by 63, 44 and 22 days respectively. Foetal and neonatal evolution are normal in five of the remaining foetuses. Only one intrauterine death is observed. No maternal complications with sequelae are reported. After abortion of the first triplet, contractions often persist and the birth of the two remaining foetuses may be unavoidable. Nevertheless, in our experience, confirmed by some reports in the literature, prolongation of the pregnancy after expulsion of the first foetus is possible. It can be achieved by cervical cerclage associated with tocolytic and antibiotic therapy. This management is not associated with significantly increased foetal-maternal morbidity.
Authors:
J M Biard; P Bernard; K Thomas; C Hubinont
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Twin research : the official journal of the International Society for Twin Studies     Volume:  3     ISSN:  1369-0523     ISO Abbreviation:  Twin Res     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-11-08     Completed Date:  2000-11-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9815819     Medline TA:  Twin Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  71-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / prevention & control,  therapy*
Adrenal Cortex Hormones / therapeutic use
Adult
Antibiotic Prophylaxis
Cesarean Section
Embryonic and Fetal Development / drug effects
Feasibility Studies
Female
Fetal Death
Gestational Age
Humans
Infant, Newborn
Male
Obstetric Labor, Premature / prevention & control
Pregnancy
Pregnancy Outcome*
Pregnancy, Multiple*
Suture Techniques
Tocolytic Agents / therapeutic use
Triplets*
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Tocolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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