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[双胎妊娠中的分娩延迟]

[Delayed delivery in twin pregnancy].

作者信息

Seince N, Aissaoui F, Bolie S, Chitrit Y, Uzan M

机构信息

Service de gynécologie-obstétrique, hôpital Jean-Verdier, avenue du 14-Juillet, 93140, Bondy, France.

出版信息

Gynecol Obstet Fertil. 2003 Jan;31(1):46-8. doi: 10.1016/s1297-9589(02)00006-1.

Abstract

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.

摘要

我们报告了一例初产妇的观察情况,该患者为双绒毛膜双羊膜囊的自然双胎妊娠。在孕20周零2天时第一个胎儿娩出后,采取期待疗法,第二个胎儿于孕31周零3天时出生。面对这种不太常见的产科情况且缺乏共识,我们讨论了三点:宫颈环扎术、宫缩抑制和预防性抗生素治疗。我们明确指出,延迟分娩的尝试旨在通过使第二个胎儿进入可存活孕周来改善其胎儿预后,并尽可能减少后遗症的情况下实现存活。

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