Document Detail

Delayed interval delivery in multiple pregnancies. Is optimism justified?
MedLine Citation:
PMID:  10468064     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Evaluation of the success of delayed interval delivery in multiple pregnancies. METHOD: Retrospective analyses of all multiple pregnancies with the birth of one child at a gestational age of 16-31 weeks (n=80). Three groups were defined: group I, unsuccessful attempt to temporize delivery, group II, interval between the first child and the other child or children 3 hours or more, with delivery of the remaining children before 28 weeks and group III, prolongation of pregnancy beyond 28 weeks. RESULTS: In 15 multiple pregnancies (ten sets of twins, five sets of triplets), the aim was to postpone the delivery of the second (and third) child. The mean gestational age at admittance was 25 weeks. Delay of the delivery of the second child was achieved in ten cases, five in group II and five in group III. In groups II and III, the mean interval of delivery was 12 days; the gestational age at the delivery of the remaining children in these ten patients was 27 5/7 weeks. No relation could be found between the reason for admittance and the interval in delivery between the first and the other children. The only severe maternal complication was blood loss exceeding 2 liters. In the neonatal outcome of first and second children (with a gestational age of 28 weeks or more) no striking differences were observed. CONCLUSION: Delayed delivery in multiple pregnancies after the birth of the first child is only successful in a minority of patients and should be considered prior to the birth of the first child.
H C van Doorn; G van Wezel-Meijler; H P van Geijn; G A Dekker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  78     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-09-10     Completed Date:  1999-09-10     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  710-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Free University, Amsterdam, The Netherlands.
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MeSH Terms
Birth Intervals*
Birth Weight
Delivery, Obstetric / adverse effects,  methods*
Gestational Age*
Infant, Newborn
Obstetric Labor, Premature / prevention & control
Pregnancy Outcome
Pregnancy, Multiple*
Retrospective Studies
Risk Factors

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