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延期分娩的产科管理

Obstetric Management of Delayed-Interval Delivery.

作者信息

Raposo Maria Inês, Cardoso Mariana, Ormonde Mariana, Stokreef Sarah, Correia Laura, Pereira Andrea

机构信息

Department of Obstetrics and Gynecology, Hospital of Divino Espírito Santo of Ponta Delgada, EPER, São Miguel, Azores, Portugal.

Department of Pediatrics, Hospital of Divino Espírito Santo of Ponta Delgada, EPER, São Miguel, Azores, Portugal.

出版信息

Case Rep Womens Health. 2017 Sep 30;16:11-13. doi: 10.1016/j.crwh.2017.09.002. eCollection 2017 Oct.

DOI:10.1016/j.crwh.2017.09.002
PMID:29594002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5842964/
Abstract

The delayed-interval delivery is a rare, flexible and complex procedure. In light of these facts, there is no consensus on the best approach to achieve it successfully. This case report is of an asynchronous delivery, in a twin pregnancy, with a 32-day interval between births of siblings. Our obstetric management at a critical gestational age improved the outcome of the second newborn. The probability of success of delayed-interval delivery depends on the proper selection of the candidates, the appropriate active management and the continuous monitoring for early detection of complications.

摘要

延迟间隔分娩是一种罕见、灵活且复杂的操作。鉴于这些事实,对于成功实现该操作的最佳方法尚无共识。本病例报告为一例双胎妊娠中的异步分娩,两胎出生间隔为32天。我们在关键孕周的产科管理改善了第二个新生儿的结局。延迟间隔分娩成功的可能性取决于对候选对象的恰当选择、适当的积极管理以及对并发症早期检测的持续监测。

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本文引用的文献

1
Delayed-interval delivery can save the second twin: evidence from a systematic review.延迟间隔分娩可挽救第二个胎儿:一项系统评价的证据
Facts Views Vis Obgyn. 2016 Dec;8(4):223-231.
2
Stillbirth in dichorionic twins discordant for major and minor anomaly, followed by asynchronous delivery - a rare occurrence. Case presentation.双绒毛膜双胎中存在严重和轻微异常不一致,随后出现不同步分娩的死产——一种罕见情况。病例报告。
Rom J Morphol Embryol. 2016;57(3):1117-1123.
3
Delayed interval delivery in twin pregnancy - case reports.双胎妊娠延迟间隔分娩——病例报告
Rom J Morphol Embryol. 2016;57(3):1089-1098.
4
[Asynchronous twin births. Case report and obstetric management review].[异步双胎分娩。病例报告及产科管理回顾]
Ginecol Obstet Mex. 2016 Jan;84(1):53-9.
5
A Case of Delayed Interval Delivery with a Successful Hospital Move.一例延迟间隔分娩及成功转院的病例
Case Rep Pediatr. 2015;2015:802097. doi: 10.1155/2015/802097. Epub 2015 Aug 30.
6
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Single-Center Experience.双绒毛膜双胎妊娠的延迟间隔分娩:单中心经验
Ochsner J. 2015 Fall;15(3):248-50.
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Delayed Interval Delivery following Early Loss of the Leading Twin.双胎妊娠中先娩出胎儿早期丢失后的延迟间隔分娩
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