Document Detail


Prolonged-interval delivery between the first and second twin. A case report.
MedLine Citation:
PMID:  11883357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Allahyar Jazayeri; Vivian Mamlok; Mark M Dorsett; Kathy B Porter
Related Documents :
11723537 - Twinning rate in a sample from a brazilian hospital with a high standard of reproductiv...
2447577 - Biamnial elevated alpha-fetoprotein and positive acetylcholinesterase in twins, one wit...
974437 - Epidemiology of twin births from a climatic point of view.
1584727 - Genetic and developmental influences on susceptibility to epilepsy: evidence from twins.
7520667 - Neurobehavioral assessment of high-risk infants in the neonatal intensive care unit.
23087197 - Infant feeding attitudes of women in the united kingdom during pregnancy and after birth.
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    
Affiliation:
Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA. obgaj@ttuhsc.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents
Cerclage, Cervical
Delivery, Obstetric / methods*
Drug Therapy, Combination / therapeutic use
Female
Fertilization in Vitro
Fetal Membranes, Premature Rupture / complications*,  therapy*
Humans
Magnesium Sulfate / therapeutic use
Pregnancy
Pregnancy Outcome
Risk Factors
Time Factors
Tocolytic Agents / therapeutic use
Twins*
Chemical
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


Previous Document:  Recurrent pelvic hydatid cyst obstructing labor, with a concomitant hepatic primary. A case report.
Next Document:  Entrapment of viable trophoblastic tissue in a uterine hematoma after surgical evacuation. A case re...