Van der Straeten F M, De Ketelaere K, Temmerman M
Department of Obstetrics and Gynaecology, Ghent University Hospital, Ghent, Belgium.
Eur J Obstet Gynecol Reprod Biol. 2001 Nov;99(1):85-9. doi: 10.1016/s0301-2115(01)00376-1.
Preterm delivery remains the most important complication of multiple pregnancies. We describe six cases of successful delay of the subsequent child(ren) after very preterm birth of the first-born, with intervals ranging between 14 and 117 days. Based on our findings and on the available literature, we propose a set of guidelines for the management of early preterm multiple birth deliveries, including tocolysis, antimicrobial therapy and corticosteroids.
早产仍然是多胎妊娠最重要的并发症。我们描述了6例在第一胎极早产之后成功延迟后续胎儿出生的病例,间隔时间为14至117天。基于我们的研究结果和现有文献,我们提出了一套关于早期早产多胎分娩管理的指南,包括宫缩抑制、抗菌治疗和使用皮质类固醇。