建议的第二胎延迟间隔分娩管理方案：病例报告。
suggested protocol of for management of delayed-interval delivery of the second twin: Case report.
作者信息
Abdelazim Ibrahim A, Shikanova Svetlana
机构信息
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), Ahmadi, Kuwait.
出版信息
J Family Med Prim Care. 2019 Mar;8(3):1276-1278. doi: 10.4103/jfmpc.jfmpc_5_19.
BACKGROUND
The incidence of multiple gestations increased after the assisted reproductive techniques. Preterm labor and preterm premature rupture of fetal membranes are the most common complications of multiple gestations. Traditionally, if one fetus is delivered preterm in twin pregnancies, the situation is managed by delivery of the second fetus. Recently, there are reported cases of delayed-interval delivery (DID) of the second twin, with good outcome without established protocol for management of such cases. This report presents the protocol suggested by Abdelazim and Shikanova for the management of DID of the remaining second twin.
CONCLUSION
The birth weight and the survival rate increased after Abdelazim and Shikanova suggested protocol for management of DID of the remaining second twin without any maternal risks or complications. DID should be done in tertiary centers after informing the parents about the possible risks of keeping the live second twin in the hostile intrauterine environment.
背景
辅助生殖技术应用后，多胎妊娠的发生率有所增加。早产和胎膜早破是多胎妊娠最常见的并发症。传统上，双胎妊娠中若一个胎儿早产，会通过娩出第二个胎儿来处理这种情况。最近，有报道称第二胎延迟间隔分娩（DID）的病例，且结局良好，但尚无针对此类病例的既定管理方案。本报告介绍了阿卜杜勒阿齐姆和希卡诺娃提出的处理剩余第二胎延迟间隔分娩的方案。
结论
在阿卜杜勒阿齐姆和希卡诺娃提出处理剩余第二胎延迟间隔分娩的方案后，出生体重和存活率有所提高，且无任何母体风险或并发症。在告知父母将存活的第二胎留在不利的宫内环境中可能存在的风险后，应在三级中心进行延迟间隔分娩。
Zotero 插件