Delayed-interval delivery in twin pregnancies.
Delayed-interval delivery in twin pregnancies.
复制标题
双胎妊娠的延迟间隔分娩。
DOI：
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
T. Pinckert
中科院分区：
文献类型：
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作者：
S. L. Hamersley;S. Coleman;N. Bergauer;L. Bartholomew;T. Pinckert
目的
报告一个单一的母胎医学实践中6例双胎妊娠延迟分娩的妊娠结局。
研究设计
回顾性分析了1988年1月至2000年8月在单一母胎医学实践中尝试延迟间隔分娩的所有病例。患者的治疗方案包括在第一胎双胞胎分娩后进行补救环扎术，抗生素，皮质类固醇和安胎。
结果
六个双胞胎妊娠中的五个导致了第二个双胞胎的出生。1例妊娠在存活前丢失了两个胎儿。所有第一胎双胞胎都不能存活。第一胎不能存活的双胞胎分娩后的中位妊娠延长时间为93天，范围为23-153天。五个可行的，第二个出生的双胞胎中有三个新生儿重症监护托儿所停留3，4和35天（平均8.4）。没有婴儿需要呼吸机。
结论
根据我们对这6例病例的分析，获得的妊娠延长对第二胎双胞胎产生了临床显著的益处，而母亲没有显著的发病率。
OBJECTIVE
To report on pregnancy outcome in six twin pregnancies with delayed-interval delivery in a single maternal-fetal medicine practice.
STUDY DESIGN
All cases of attempted delayed-interval delivery from January 1988 to August 2000 in a single maternal-fetal medicine practice were retrospectively reviewed. Patients were managed with a treatment protocol that included rescue cerclage after delivery of the first born twin, antibiotics, corticosteroids and tocolysis.
RESULTS
Five of the six twin gestations resulted in viable birth of the second-born twin. One pregnancy had loss of both fetuses before viability. All first-born twins were nonviable. The median pregnancy prolongation achieved following delivery of the first-born, nonviable twin was 93 days, with a range of 23-153. Three of the five viable, second-born twins had a neonatal intensive care nursery stay of 3, 4 and 35 days (mean, 8.4). No infant required a ventilator.
CONCLUSION
Based on our analysis of these six cases, the pregnancy prolongation gained resulted in a clinically significant benefit to the second-born twin, without significant morbidity in the mother.