Document Detail

Prolonged-interval delivery between the first and second twin. A case report.
MedLine Citation:
PMID:  11883357     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Prolonged-interval delivery between twins can improve neonatal outcome and, under careful monitoring, poses minimal maternal risk. CASE: A 27-year-old, nulliparous woman conceived after in vitro fertilization and was found to have diamniotic-dichorionic twins. At 17 weeks she presented with premature preterm rupture of the membranes of twin A. She was offered delivery or expectant management. She chose expectant management and was discharged. At 18 weeks she delivered twin A and decided to expectantly manage the second twin. Amniocentesis was performed to evaluate for intraamniotic infections. There was no evidence of them, and a McDonald cerclage was placed. At 32 weeks, spontaneous rupture of the membranes occurred for twin B. The patient delivered vaginally a male infant (2,070 g) who did not need mechanical ventilation and was discharged from neonatal intensive care on the 7th day of life, with no complications. CONCLUSION: Expectant management of a second twin after delivery of the first in selected patients can improve neonatal outcome.
Allahyar Jazayeri; Vivian Mamlok; Mark M Dorsett; Kathy B Porter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-03-08     Completed Date:  2002-07-31     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  167-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA.
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MeSH Terms
Anti-Bacterial Agents
Cerclage, Cervical
Delivery, Obstetric / methods*
Drug Therapy, Combination / therapeutic use
Fertilization in Vitro
Fetal Membranes, Premature Rupture / complications*,  therapy*
Magnesium Sulfate / therapeutic use
Pregnancy Outcome
Risk Factors
Time Factors
Tocolytic Agents / therapeutic use
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Tocolytic Agents; 7487-88-9/Magnesium Sulfate

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

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