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双子宫合并绒毛膜羊膜炎中延迟间隔分娩的双胞胎:病例报告及文献复习。

Delayed-interval-delivery of twins in didelphys uterus complicated with chorioamnionitis: a case report and a brief review of literature.

机构信息

Department of Obstetrics and Gynecology, Makassed General Hospital, Beirut, Lebanon.

Department of Obstetrics and Gynecology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

出版信息

J Matern Fetal Neonatal Med. 2022 Sep;35(17):3318-3322. doi: 10.1080/14767058.2020.1818211. Epub 2020 Sep 14.

Abstract

Delayed-Interval-Delivery (DID) of multiple gestations has been attempted with variable degrees of success in normal, as well as, in anomalous uteri. We describe a delayed interval delivery procedure in a dichorionic diamniotic twin pregnancy after removal of both, placenta and fetus from one horn by cesarean delivery at 25 weeks followed by spontaneous delivery of the remaining twin at 35 weeks. This was followed by a review of similar cases reported to the literature. The importance of this case resides in the success of DID in spite of chorioamnionitis. Furthermore, this was the second DID attempt where delivery of the first twin was accomplished by cesarean while that of the second one was done by vaginal route.

摘要

在正常子宫和异常子宫中,已经尝试了多种多胎妊娠的延迟间隔分娩(DID),并取得了不同程度的成功。我们描述了一例在 25 周时通过剖宫产从一个宫角取出胎盘和胎儿后,在双绒毛膜双羊膜囊双胎妊娠中进行延迟间隔分娩的过程,随后在 35 周时自然分娩了另一胎儿。随后对文献中报道的类似病例进行了回顾。这个病例的重要性在于尽管存在绒毛膜羊膜炎,但 DID 还是成功了。此外,这是第二次尝试 DID,第一次分娩通过剖宫产完成,而第二次通过阴道完成。

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