三胎妊娠中第二和第三个胎儿的极不同步分娩。
Extremely asynchronic delivery of second and third fetuses in a triple pregnancy.
作者信息
Fabres Cecilia, Germain Alfredo M, Quiroz Lorena, Crosby Javier A
机构信息
Reproductive Medicine Unit, Department of Obstetrics & Gynecology, Clinica las Condes, Santiago, Chile.
Maternal Fetal Medicine Unit, Department of Obstetrics & Gynecology, Clinica las Condes, Santiago, Chile.
出版信息
JBRA Assist Reprod. 2014 Jun 27;18(2):62-64. doi: 10.5935/1518-0557.20140007.
Report of clinical treatment of a patient with a triple pregnancy after ICSI, who had the abortion of the first fetus at 16 weeks of gestation and the "asynchronic delivery" of the other two, at 28 weeks. A reproductive inflammatory process previously diagnosed in the couple could have been related with the premature rupture of membranes (PROM) occurred at 15.5 weeks of pregnancy. The clinical interventions described, made possible the delayed delivery and the survival of the other two triplets. This case shows us the importance to transfer no more than two embryos during ART, to avoid the catastrophic consequences of a triple pregnancy.
关于1例ICSI后三胎妊娠患者的临床治疗报告。该患者在妊娠16周时第一胎儿流产，另外两个胎儿在28周时“不同步分娩”。此前诊断出这对夫妇存在生殖系统炎症，这可能与妊娠15.5周时发生的胎膜早破（PROM）有关。所描述的临床干预措施使另外两个三胞胎得以延迟分娩并存活。该病例向我们表明了在辅助生殖技术（ART）过程中移植不超过两个胚胎的重要性，以避免三胎妊娠带来的灾难性后果。
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