Twin pregnancies and delayed-interval delivery: Report of two cases with delivery after 35 weeks’ gestation

Sebahoun, V.; Helmlinger, Christine; Vayssière, C.; Boudier, E.; Langer, B.; Nisand, I.

doi:10.1016/j.ejogrb.2005.05.008

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…We found a review from 2005 which describes 14 case reports and 10 cohort studies [3]. An additional nine case reports and three cohort studies were found [4–15], i.e. a total of 23 case reports and 14 cohort studies that describe a total of 145 cases of intentional delayed delivery.…”

Section: Discussionmentioning

confidence: 99%

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Term life birth after late abortion of the first twin

Wouters

Gianotten

Bayram

et al. 2009

Acta Obstet Gynecol Scand

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The incidence of multiple pregnancy has increased significantly in recent years as a result of assisted reproductive therapy. The most important complication of these pregnancies remains preterm delivery. We report an extraordinary case of delayed delivery after late abortion of the first twin. Tocolysis successfully prolonged the pregnancy for more than three months, and combined with antibiotics and corticosteroids resulted in a term delivery of a second healthy sibling. A total of 37 reports that describe 145 cases of intentional delayed delivery are available. Delay of delivery may offer significant improvement in survival and outcome for the remaining fetus. Delay of delivery beyond 37 weeks is uncommon with only eight reports. A protocol for the procedure of delayed delivery of the second twin is suggested.

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Section: Discussionmentioning

confidence: 99%

“…Gestational age at the time of delivery of the second twin ranged from 19 to 39 weeks. Delay of delivery beyond 37 weeks is rare with only eight deliveries at term [3–7]. In six of these eight cases the first sibling was born before 24 weeks.…”

Section: Discussionmentioning

confidence: 99%

Term life birth after late abortion of the first twin

Wouters

Gianotten

Bayram

et al. 2009

Acta Obstet Gynecol Scand

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“…Survival of the first born was clearly linked to its gestational age and birth-weight (13). The survival of the second born was dependent upon a number of factors, including the delivery interval between the first and second twin and the presence of obstetric problems appearing during the latency period; the longer the interval, the greater was the chance for surviving (10)(11)14). Likewise, the absence of significant obstetric problems in the latency period also improved survival.…”

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confidence: 99%

Delayed Interval Delivery of a Second Twin: A Case Report and Review of the Literature

et al. 2007

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We report a case of diamniotic, dichorionic pregnancy that presented at 26 weeks with premature rupture of the first amniotic sac. Nine days later, premature labour and delivery of the first male twin took place, with death of the first twin. The second twin was left in utero. The management included combination of tocolytics, antibiotics and cervical cerclage. Caesarean section was performed 48 days later, at 34 weeks due to breech presentation and contractions. We delivered a live male infant with apgar scores 4/1 and 7/5 and 1680 gr weight. The infant was discharged home 29 days later.The implementation of assisted reproduction during the last ten years has increased the incidence of multiple pregnancies. In some cases one or more infants must be born due to intrauterine risks or stillbirth. According to the relevant literature there is an absence of unanimity on the best management for these pregnancies. The aim ofthis report is to add our experience to the currently limited literature.A 31 year-old nullipara woman was admitted to the hospital at the 26th week of a twin dichorionic, diamniotic pregnancy after in vitro fertilisation (IVF), because of premature rupture of the membranes of the first amniotic sac. The ultrasound examination revealed cephalic presentation of the first female fetus, whereas the second male fetus was breech. Both had normal amniotic fluid index and growth. Two independent placentas were also visualized.The patient was treated with bed rest, erythromycin 250 mg three times per day (TID) for 7 days, atociban iv for 48 hours and 24 mg betamethasone in two separate doses. Seven days later, the first infant was born, weighting 780 g, but died seven days later at the Neonatal Intensive Care Unit (NICU) because of severe lung prematurity. The contractions ceased after the delivery of the first fetus. A ligation of the umbilical cord was performed, as high in the cervix as possible, in aseptic conditions, and the placenta was left inside the uterus. A McDonald cervical cerclage was also performed. During the procedure a course ofiv coamoxyclav 1.2 gr was administered. In addition, prophylactic ritrodine iv was administered for 48 hours.The patient was kept in the hospital for close monitoring which involved daily auscultation of the fetal heart and measurement of body temperature, twice weekly full blood count, CRP and clotting screen and ultrasound examination for growth and doppler once weekly. Pregnancy was terminated by caesarean section 48 days later (34th week) due to uterine contractions and breech presentation. A male

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Twin pregnancies and delayed-interval delivery: Report of two cases with delivery after 35 weeks’ gestation

Cited by 2 publications

References 6 publications

Term life birth after late abortion of the first twin

Term life birth after late abortion of the first twin

Delayed Interval Delivery of a Second Twin: A Case Report and Review of the Literature

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