Prahm Kira Philipsen, Langhoff-Roos Jens, Møller Nini Katja
Gothersgade 95, 4. tv., 1123 København K.
Ugeskr Laeger. 2014 Feb 3;176(6A):V07130433.
Multiple pregnancies have increased in recent years as a result of assisted reproductive therapy thereby increasing the risk of preterm delivery. We report two successful cases of delayed delivery of the second twin after extremely preterm delivery and miscarriage of the first twin. One was treated with antibiotics and early tocolysis, the other with antibiotics and late cervical cerclage. The pregnancies of the second twin were prolonged by 43 and 28 days respectively. Both types of treatments seem to be useful therapeutic options; however, there is currently no defined recommendation for a treatment protocol for delayed delivery of the second twin.
近年来，由于辅助生殖治疗，多胎妊娠有所增加，从而增加了早产风险。我们报告了两例成功案例，即在第一对双胞胎极早早产和流产后，第二对双胞胎延迟分娩。其中一例接受了抗生素治疗和早期宫缩抑制治疗，另一例接受了抗生素治疗和晚期宫颈环扎术。第二对双胞胎的妊娠期分别延长了43天和28天。这两种治疗方法似乎都是有用的治疗选择；然而，目前对于第二对双胞胎延迟分娩的治疗方案尚无明确的推荐。
