Delayed delivery in twin pregnancy

We report the observation of a primigravid patient, presenting a spontaneous twin pregnancy bichorionic and biamniotic. After expulsion of the first twin at 20 weeks and two days, expectancy is adopted and the second twin is born at 31 weeks and three days. In front of this not so frequent obstetric...

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Bibliographic Details
Published inGynécologie, obstétrique & fertilité Vol. 31; no. 1; p. 46
Main Authors Seince, N, Aissaoui, F, Bolie, S, Chitrit, Y, Uzan, M
Format Journal Article
LanguageFrench
Published France 01.01.2003
Subjects
Adult
Delivery, Obstetric
Female
Gestational Age
Humans
Obstetric Labor, Premature - prevention & control
Pregnancy
Time Factors
Twins
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Summary:We report the observation of a primigravid patient, presenting a spontaneous twin pregnancy bichorionic and biamniotic. After expulsion of the first twin at 20 weeks and two days, expectancy is adopted and the second twin is born at 31 weeks and three days. In front of this not so frequent obstetrical situation and the absence of consensus, we discuss three points: cerclage, tocolysis and the prophylactic antibiotherapy. We specify that the attempt at differed childbirth is aimed at improving the foetal prognosis of the second twin by bringing it into the viable term, as well as obtaining a survival with the least possible number of sequels.
ISSN:1297-9589
1769-6682