Successful twin delivery after a radical trachelectomy

Agarwal, Neelima; Rana, Ritu; Gupta, Manish; Ugwumadu, Austin

doi:10.3109/01443615.2013.822481

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Under such conditions after RT, management of twin pregnancy can be a great challenge for obstetricians. There have only been 6 reports on 7 such patients published so far [6][7][8][9][10][11]. Here we report the successful outcome of a twin pregnancy at 31 weeks+4 days of pregnancy after vaginal RT.…”

Section: Introductionmentioning

confidence: 83%

First case of twin pregnancy after vaginal radical trachelectomy in a Japanese woman

Ishioka¹

2018

SCR

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Twin pregnancy after radical trachelectomy (RT) for uterine cervical cancer involves an extremely high risk of preterm premature rupture of the membrane (pPROM) and the following occurrence of preterm birth. Herein we report the first case of twin pregnancy after vaginal RT in a Japanese woman. The patient was a 36-year-old nulliparous woman. She became pregnant with twins one year after vaginal RT with laparoscopic lymphadenectomy and the following treatment with the use of in vitro fertilization/embryo transfer. Her pregnancy course was favorable with vaginal disinfection, bed rest, and administration of progesterone, ritodrine, and an ulinastatin vaginal suppository. At 31 weeks + 4 days of pregnancy, a scheduled cesarean section was performed. One baby weighed 1000g, with Apgar scores of 7/8, and the other 1100g, with Apgar scores of 8/9. Her postpartum course was also favorable. The mother remains without evidence of recurrence of the cancer at the time of this report.

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Section: Introductionmentioning

confidence: 83%

First case of twin pregnancy after vaginal radical trachelectomy in a Japanese woman

Ishioka¹

2018

SCR

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“…Only five reports on post‐trachelectomy “twin” deliveries (including six cases) have been published to date, using Pub‐Med and MEDLINE published in the English language between 1985 and 2018 with the key search word: “twin” and “trachelectomy”. These six cases are summarized in Table ; the mean gestational age at birth was 29 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Only five reports on post-trachelectomy "twin" deliveries (including six cases) have been published to date, [15][16][17][18][19] using F I G U R E 2 Serial measurements of the length of the 'neo-cervix' were performed, and revealed that it had shortened during pregnancy. A, neo-cervical length was 27 mm at 15 +1 wk on admission.…”

Section: Discussionmentioning

confidence: 99%

Multiple management strategies to prolong gestational period after radical trachelectomy

Ito

Yoneda

Shiozaki

et al. 2019

Clinical Case Reports

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“…Among the pregnant women after RT, there are reports of ten women pregnant with twins published previously (Table 1) [10,40,50,[57][58][59][60][61][62]. Since perinatal outcomes were not reported in detail, there was a dearth of information on managing a twin pregnancy in women after RT.…”

Section: Twin Pregnancymentioning

confidence: 99%