第二胎双胞胎的延迟间隔分娩：产科管理、新生儿结局及2年随访
Delayed interval delivery of the second twin: obstetric management, neonatal outcomes, and 2-year follow-up.
作者信息
Padilla-Iserte Pablo, Vila-Vives José María, Ferri Blanca, Gómez-Portero Rosa, Diago Vicente, Perales-Marín Alfredo
机构信息
Obstetrics Ultrasound Unit, Department of Obstetrics and Gynecology, University Hospital La Fe, Bulevar Sur s/n, 46026 Valencia, Spain.
出版信息
J Obstet Gynaecol India. 2014 Oct;64(5):344-8. doi: 10.1007/s13224-014-0544-1. Epub 2014 May 13.
OBJECTIVES
To evaluate the obstetric management and neonatal outcomes in twin pregnancies with delayed delivery of the second twin, including follow-up.
METHODS
This study is a review of four cases of delayed delivery of the second twin in our hospital from 2009 to 2012. The obstetric management of the cases from the expulsion of the first twin to the delivery of the second twin is analyzed. The neonatal outcomes including follow-up for 2 years were reviewed.
RESULTS
The first twins were delivered between 15 and 25 weeks (average 21 weeks) and the second twins were delivered between 25 and 31 weeks (average 27 weeks). One first twin (25 %) survived, while three (75 %) second twins survived. Two out of the three second twins delivered after 28 weeks were in satisfactory condition.
CONCLUSIONS
The delayed delivery of the second twins which occurred in the third trimester is associated with favorable outcome, however, the risks should not be ignored.
目的
评估第二胎延迟分娩的双胎妊娠的产科管理及新生儿结局，包括随访情况。
方法
本研究回顾了我院2009年至2012年期间4例第二胎延迟分娩的病例。分析了这些病例从第一胎娩出至第二胎分娩期间的产科管理情况。对包括2年随访的新生儿结局进行了回顾。
结果
第一胎在15至25周（平均21周）分娩，第二胎在25至31周（平均27周）分娩。1例第一胎（25%）存活，3例第二胎（75%）存活。28周后分娩的3例第二胎中有2例情况良好。
结论
孕晚期发生的第二胎延迟分娩与良好结局相关，但风险也不应被忽视。
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