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Delayed interval delivery in twin and triplet pregnancies: 6 years of experience in one perinatal center
-
Joscha Reinhard
,
Lena Reichenbach
Published/Copyright:
May 30, 2012
Abstract
Objective: This study aimed to know the outcome of delayed-interval delivery for twin and triplet pregnancies at 22+0 to 25+0 weeks of gestation.
Study design: A retrospective cohort of twin and triplet deliveries at the 23rd to 26th weeks of gestation were managed with delayed interval delivery from 2005 to 2011.
Results: From 2005 until 2011, delayed delivery in five twin pregnancies and two triplet pregnancies were performed. The interval between delivery of the first fetus and the remaining twin/triplets was 1–18 days (mean, 9.7 days). In all cases, the first fetus was born vaginally. Survival of the first twin/triplet was 14.3%, whereas 57.1% of the second born twin/triplets survived. Birth weight gained due to delayed delivery was 131 g on average. No severe maternal complications were observed. When compared with a gestation age-matched group, where the delay was not possible, the delayed twin/triplet had a higher survival rate (57.1% vs. 0%, P=0.05).
Conclusion: In multiple pregnancies with preterm delivery between completed 22 and completed 25 weeks of gestational age, delayed delivery seems to be a useful therapeutic option to achieve a better outcome of the remaining fetus or fetuses.
Keywords: Outcome of extremely low birth weight infants; preterm delivery; triplets delayed interval delivery; twins
Received: 2011-10-27
Revised: 2012-4-23
Accepted: 2012-4-30
Published Online: 2012-05-30
Published in Print: 2012-09-01
©2012 by Walter de Gruyter Berlin Boston
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Keywords for this article
Outcome of extremely low birth weight infants;
preterm delivery;
triplets delayed interval delivery;
twins
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- Trophoblastic progranulin expression is upregulated in cases of fetal growth restriction and preeclampsia
- Can a customized standard for large for gestational age identify women at risk of operative delivery and shoulder dystocia?
- Can discordance in CRL at the first trimester predict birth weight discordance in twin pregnancies?
- Anxiety and deterioration of quality of life factors associated with recurrent miscarriage in an observational study
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