This article presents a case of conservative managements of an in vitro-fertilized twin pregnancy with early loss of the first fetus. A 37-year-old woman in the 21st week of a twin pregnancy delivered her one of the f...This article presents a case of conservative managements of an in vitro-fertilized twin pregnancy with early loss of the first fetus. A 37-year-old woman in the 21st week of a twin pregnancy delivered her one of the fetuses with unfortunate outcome after the premature rupture of membranes. The umbilical cord of the first fetus was ligated at the cervical level and the second surviving fetus was left in utero. In order to save the surviving fetus, conservative managements including combination of steroids, tocolytics, antibiotics and cervical cerclage were performed. The second fetus was delivered vaginally in the 27th week of pregnancy, 4 h after premature rupture of membranes of the remaining amniotic sac, 41 d after the first fetus was born. The child and the mother have been followed up for 4 years and they are healthy. Conservative managements including steroids, tocolytics, antibiotics and cervical cerclage in a closely monitored environment would be given following the delivery of the first fetus. Delayed-interval pregnancy appears to be safe for the mother and the remaining fetuses.展开更多
目的探讨双胎妊娠延迟分娩(delayed interval delivery of the twin,DIDT)的临床处理及母婴结局。方法回顾性分析2019年1月至2022年7月北京大学第三医院收治的6例多胎妊娠延迟分娩病例,分析相关临床处理及母婴结局。结果6例患者中有1例...目的探讨双胎妊娠延迟分娩(delayed interval delivery of the twin,DIDT)的临床处理及母婴结局。方法回顾性分析2019年1月至2022年7月北京大学第三医院收治的6例多胎妊娠延迟分娩病例,分析相关临床处理及母婴结局。结果6例患者中有1例为单绒毛膜双羊膜囊双胎,5例为双绒毛膜双羊膜囊双胎;2例患者在一胎儿娩出前已行宫颈环扎,一胎儿娩出后均未行宫颈环扎术。延迟分娩胎儿6例,存活5例。母体均未出现严重的感染、出血及宫颈撕裂等并发症。结论DIDT能延长孕周,在延迟分娩过程中需动态监测母儿情况及感染指标,预防性应用抗生素,个体化选择抑制宫缩、促胎肺成熟及宫颈环扎等治疗措施。展开更多
双胎妊娠第二胎延迟分娩(delayed interval delivery of the twin,DIDT)是指双胎妊娠中第一个胎儿发生流产或早产后,通过保守治疗延长第二个胎儿的分娩间隔时间。本文报道河北医科大学第四医院东院产科收治的3例DIDT患者,第一个胎儿娩...双胎妊娠第二胎延迟分娩(delayed interval delivery of the twin,DIDT)是指双胎妊娠中第一个胎儿发生流产或早产后,通过保守治疗延长第二个胎儿的分娩间隔时间。本文报道河北医科大学第四医院东院产科收治的3例DIDT患者,第一个胎儿娩出后给予抗炎、保胎、促胎肺成熟等治疗,不同程度地延长了第二个胎儿的分娩间隔时间。延迟分娩处理得当可明显改善第二个胎儿的围生结局,已成为双胎妊娠中一胎流产或早产后处理的重要措施。由于延迟分娩中母婴均面临诸多并发症风险,故应在与患者及家属充分沟通、权衡利弊后实施。展开更多
基金supported by Xiamen Science and Technology Innovation Platform Funded Program (3502Z20111006)
文摘This article presents a case of conservative managements of an in vitro-fertilized twin pregnancy with early loss of the first fetus. A 37-year-old woman in the 21st week of a twin pregnancy delivered her one of the fetuses with unfortunate outcome after the premature rupture of membranes. The umbilical cord of the first fetus was ligated at the cervical level and the second surviving fetus was left in utero. In order to save the surviving fetus, conservative managements including combination of steroids, tocolytics, antibiotics and cervical cerclage were performed. The second fetus was delivered vaginally in the 27th week of pregnancy, 4 h after premature rupture of membranes of the remaining amniotic sac, 41 d after the first fetus was born. The child and the mother have been followed up for 4 years and they are healthy. Conservative managements including steroids, tocolytics, antibiotics and cervical cerclage in a closely monitored environment would be given following the delivery of the first fetus. Delayed-interval pregnancy appears to be safe for the mother and the remaining fetuses.
文摘目的探讨双胎妊娠延迟分娩(delayed interval delivery of the twin,DIDT)的临床处理及母婴结局。方法回顾性分析2019年1月至2022年7月北京大学第三医院收治的6例多胎妊娠延迟分娩病例,分析相关临床处理及母婴结局。结果6例患者中有1例为单绒毛膜双羊膜囊双胎,5例为双绒毛膜双羊膜囊双胎;2例患者在一胎儿娩出前已行宫颈环扎,一胎儿娩出后均未行宫颈环扎术。延迟分娩胎儿6例,存活5例。母体均未出现严重的感染、出血及宫颈撕裂等并发症。结论DIDT能延长孕周,在延迟分娩过程中需动态监测母儿情况及感染指标,预防性应用抗生素,个体化选择抑制宫缩、促胎肺成熟及宫颈环扎等治疗措施。
文摘双胎妊娠第二胎延迟分娩(delayed interval delivery of the twin,DIDT)是指双胎妊娠中第一个胎儿发生流产或早产后,通过保守治疗延长第二个胎儿的分娩间隔时间。本文报道河北医科大学第四医院东院产科收治的3例DIDT患者,第一个胎儿娩出后给予抗炎、保胎、促胎肺成熟等治疗,不同程度地延长了第二个胎儿的分娩间隔时间。延迟分娩处理得当可明显改善第二个胎儿的围生结局,已成为双胎妊娠中一胎流产或早产后处理的重要措施。由于延迟分娩中母婴均面临诸多并发症风险,故应在与患者及家属充分沟通、权衡利弊后实施。
