Document Detail


Delayed birth of the second child in multiple gestation
MedLine Citation:
PMID:  11494684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five case histories illustrate the issue of delayed interval deliveries. In the first two cases, the first child was born at a gestational age of 20 and 18 weeks, respectively. The first woman (40 years old) gave birth to the second child after successful prolongation of pregnancy to a gestational age of 38 weeks. In the second case (28 years old), the attempt to delay delivery failed and the second child was born at 19 weeks of gestation. The third case (32 years old), illustrates the enormous differences in neonatal course between a child born at 26 weeks of gestation, who had to be treated at length for respiratory distress syndrome, hypotension and patent ductus arteriosus, and his twin brother born two weeks later and who recovered more quickly. The fourth case (24 years old) describes delayed delivery to allow administration of antenatal glucocorticoids. The last case (32 years old) deals with a serious maternal complication of placental abruption during an attempt to delay the birth of the second twin. Early tocolytic and antibiotic therapy may delay delivery and, in combination with antenatal glucocorticoids to stimulate lung maturation, may thereby improve the condition of the second twin. The role of cervical cerclage remains controversial. There is an important publication bias in the literature due to under-reporting of the failed attempts of delayed deliveries. In multiple gestation with imminent very preterm birth, delayed delivery of the second child is a feasible management option.
Authors:
M Weemhoff; C A van Meir; F J Walther; F C Twaalfhoven; J van Roosmalen
Publication Detail:
Type:  Case Reports; English Abstract; Journal Article; Review    
Journal Detail:
Title:  Nederlands tijdschrift voor geneeskunde     Volume:  145     ISSN:  0028-2162     ISO Abbreviation:  Ned Tijdschr Geneeskd     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-09     Completed Date:  2001-09-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400770     Medline TA:  Ned Tijdschr Geneeskd     Country:  Netherlands    
Other Details:
Languages:  dut     Pagination:  1377-80     Citation Subset:  IM    
Affiliation:
Medisch Centrum Haaglanden, locatie Antoniushove, afd. Gynaecologie en Obstetrie, Leidschendam.
Vernacular Title:
Uitgestelde geboorte van de tweede van een meerling.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Antibiotic Prophylaxis
Cervix Uteri / surgery
Female
Fetal Death / prevention & control*
Fetal Diseases / prevention & control*
Gestational Age
Glucocorticoids / therapeutic use
Humans
Obstetric Labor, Premature / prevention & control*
Pregnancy
Pregnancy Outcome
Pregnancy, Multiple*
Prenatal Care / methods
Tocolysis / methods
Chemical
Reg. No./Substance:
0/Glucocorticoids

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


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