Document Detail

Dilation and evacuation of a single fetus after midtrimester PROM in previable twin pregnancy.
MedLine Citation:
PMID:  18756429     Owner:  NLM     Status:  MEDLINE    
Midtrimester premature rupture of membranes (PROM) is an unusual complication of multiple gestation that most often results in poor obstetric outcome. Presented are four cases of twin pregnancy complicated by preterm PROM and umbilical cord prolapse at 16 to 21 weeks' gestation. After a period of expectant management, dilation and evacuation of only the presenting fetus was performed with careful ultrasound guidance, to attempt delayed interval delivery. This resulted in pregnancy prolongation of 42 to 133 days for the remaining cotwins. Dilation and evacuation of a single demised fetus in twin pregnancy complicated by PROM and cord prolapse can be accomplished with favorable clinical outcome.
William J Watson; Joseph Hwang; Brian C Brost
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Publication Detail:
Type:  Journal Article     Date:  2008-08-28
Journal Detail:
Title:  American journal of perinatology     Volume:  25     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-31     Completed Date:  2009-01-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  583-5     Citation Subset:  IM    
Maternal-Fetal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
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MeSH Terms
Dilatation and Curettage
Fetal Membranes, Premature Rupture / surgery*,  ultrasonography
Follow-Up Studies
Pregnancy Outcome*
Pregnancy Reduction, Multifetal / methods*
Pregnancy Trimester, Second
Pregnancy, Multiple*
Retrospective Studies
Risk Assessment
Ultrasonography, Prenatal
Young Adult

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

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