Document Detail


The retained twin/triplet following a preterm delivery--an analysis of the literature.
MedLine Citation:
PMID:  9890235     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We summarized the overall experience of the management and outcome of the retained twin/triplet and statistically analyzed the effects of the different variables such as cervical cerclage, tocolysis, use of antibiotics etc. on the retained fetal survival; 45 case reports in English were analyzed. The survival rate of the first born was very poor in contrast to the second and third-born infants. Spontaneous rupture of the membranes was the most common cause of the loss of the first born, whereas for the second born, premature labour was the commonest cause. Despite substantial obstetric events leading to delivery of the first-born infant, interval problems were uncommon. The mean period of retention of the surviving retained twin/triplet was 48.9 +/- 37.9 days compared to 25.7 +/- 31.6 days for the dead retained twins/triplets (p=0.08). The female retained twins/triplets were retained much longer than the males (p=0.008). The pregnancies lasted 45.9 days in the tocolytic group and 37 days in the nontocolytic group (p=0.51). The delivery interval of the second born in the cerclage group was 52 +/- 42 days compared to 34 +/- 30 days in the noncerclage group (p=0.1). The longer the twins/triplets were retained the better was their survival. Tocolysis, cervical cerclage and prophylactic use of antibiotics failed to make a statistically significant difference in the fetal outcome. The birth-weights, gestations and sex of the retained twins/triplets affected their survival significantly.
Authors:
A N Trivedi; W R Gillett
Related Documents :
9756315 - Selective termination and elective reduction in twin pregnancies: 10 years experience a...
14550995 - Potentially preventable excess mortality among higher-order multiples.
24799855 - Intrauterine administration of recombinant human chorionic gonadotropin before embryo t...
24999785 - Adherence in a pragmatic randomized controlled trial on prophylactic iron supplementati...
16466355 - Fathers' perspectives during pregnancy, postperinatal loss.
17289285 - Zinc treatment prevents dysmenorrhea.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  38     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-03-15     Completed Date:  1999-03-15     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  461-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Dunedin Public Hospital and Otago Medical School, New Zealand.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Female
Fetal Membranes, Premature Rupture*
Gestational Age
Humans
Pregnancy
Pregnancy Outcome*
Triplets*
Twins*

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


Previous Document:  An audit of oestrogen implant hormone replacement therapy.
Next Document:  Amniotic fluid B12 and folate levels associated with neural tube defects.