Document Detail


Delayed-interval delivery in multifetal pregnancy.
MedLine Citation:
PMID:  9465797     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our goal was to review a single subspecialty practice experience with a uniform approach to delayed-interval delivery. STUDY DESIGN: A 66-month retrospective review of our maternal-fetal medicine practice database was completed. Fifty-nine sets of twins or triplets delivered at < 30 weeks' gestation were identified. No cases of twins or triplets who came to our care, either in consultation or as primary providers, were excluded. RESULTS: Forty-three patients were excluded as candidates for delayed-interval delivery because of monochorionicity, abruptio placentae, severe preeclampsia, and the need for hysterotomy. Sixteen pregnancies were identified as candidates for delayed-interval delivery, and we actually attempted to delay delivery in 9 of them. The details of the interval deliveries are summarized; there was a mean latency interval of 34 days with a range of 3 to 76 days. Pregnancies in which delayed-interval deliveries wer attempted were significantly less mature at the time of presentation than those managed by delivery of all infants initially. Perinatal mortality was significantly lower in the retained fetuses. CONCLUSIONS: This retrospective consecutive case review from a single maternal-fetal practice documents that selected multichorionic pregnancies may benefit from delayed-interval delivery. Modest intervals between siblings during critical gestational ages can improve newborn survival and decrease neonatal morbidity.
Authors:
R P Porreco; E D Sabin; K D Heyborne; L G Lindsay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  178     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-03-06     Completed Date:  1998-03-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  20-3     Citation Subset:  AIM; IM    
Affiliation:
Rocky Mountain Perinatal Associates, P.C. Columbia-HealthONE Perinatal Services, Denver, CO, USA.
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / physiopathology
Adult
Databases, Factual
Delivery, Obstetric / methods*
Female
Humans
Pre-Eclampsia / physiopathology
Pregnancy
Pregnancy Complications / physiopathology
Pregnancy Outcome*
Pregnancy, Multiple / physiology*
Retrospective Studies
Time Factors
Triplets
Twins

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


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