Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista brasileira de ginecologia e obstetrícia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000100061 |
Resumo: | Abstract Premature delivery often complicates multifetal pregnancies, placing neonates at risk of seriousmorbidity andmortality. In select cases, pretermbirth of one sibling may not require delivery of the remaining fetus(es), which may remain in utero for a delayedinterval delivery, consequently improving neonatalmorbidity andmortality. Currently, there is no consensus on the best protocol for the optimalmanagement of these cases. We report one case of delayed-interval delivery of a dichorionic pregnancy assisted in our center. In this case, prophylactic cerclage, tocolytic therapy and administration of broad-spectrum prophylactic antibiotics enabled delivery at 37 weeks, corresponding to 154 days of latency, which is, to our knowledge, the longest interval described in the literature. The attempt to defer the delivery of the second fetus in peri-viability is an option that should be offered to parents after counseling, providing that the clinical criteria of eligibility are fulfilled. The correct selection of candidates, combined with the correct performance of procedures, as well as fetal and maternal monitoring and early identification of complications increase the probability of success of this type of delivery. |
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Revista brasileira de ginecologia e obstetrícia (Online) |
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Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Daysdelayed-interval deliverytwin pregnancypreterm birthmaternal morbidityneonatal morbidityAbstract Premature delivery often complicates multifetal pregnancies, placing neonates at risk of seriousmorbidity andmortality. In select cases, pretermbirth of one sibling may not require delivery of the remaining fetus(es), which may remain in utero for a delayedinterval delivery, consequently improving neonatalmorbidity andmortality. Currently, there is no consensus on the best protocol for the optimalmanagement of these cases. We report one case of delayed-interval delivery of a dichorionic pregnancy assisted in our center. In this case, prophylactic cerclage, tocolytic therapy and administration of broad-spectrum prophylactic antibiotics enabled delivery at 37 weeks, corresponding to 154 days of latency, which is, to our knowledge, the longest interval described in the literature. The attempt to defer the delivery of the second fetus in peri-viability is an option that should be offered to parents after counseling, providing that the clinical criteria of eligibility are fulfilled. The correct selection of candidates, combined with the correct performance of procedures, as well as fetal and maternal monitoring and early identification of complications increase the probability of success of this type of delivery.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2020-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000100061Revista Brasileira de Ginecologia e Obstetrícia v.42 n.1 2020reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0040-1701468info:eu-repo/semantics/openAccessFrias,Catarina Alexandra Soares deQueirós,Alexandra Sofia Puga Alvarez de FariaSimões,Helena Teresinha Fernandeseng2020-03-23T00:00:00Zoai:scielo:S0100-72032020000100061Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2020-03-23T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false |
dc.title.none.fl_str_mv |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
title |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
spellingShingle |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days Frias,Catarina Alexandra Soares de delayed-interval delivery twin pregnancy preterm birth maternal morbidity neonatal morbidity |
title_short |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
title_full |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
title_fullStr |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
title_full_unstemmed |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
title_sort |
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days |
author |
Frias,Catarina Alexandra Soares de |
author_facet |
Frias,Catarina Alexandra Soares de Queirós,Alexandra Sofia Puga Alvarez de Faria Simões,Helena Teresinha Fernandes |
author_role |
author |
author2 |
Queirós,Alexandra Sofia Puga Alvarez de Faria Simões,Helena Teresinha Fernandes |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Frias,Catarina Alexandra Soares de Queirós,Alexandra Sofia Puga Alvarez de Faria Simões,Helena Teresinha Fernandes |
dc.subject.por.fl_str_mv |
delayed-interval delivery twin pregnancy preterm birth maternal morbidity neonatal morbidity |
topic |
delayed-interval delivery twin pregnancy preterm birth maternal morbidity neonatal morbidity |
description |
Abstract Premature delivery often complicates multifetal pregnancies, placing neonates at risk of seriousmorbidity andmortality. In select cases, pretermbirth of one sibling may not require delivery of the remaining fetus(es), which may remain in utero for a delayedinterval delivery, consequently improving neonatalmorbidity andmortality. Currently, there is no consensus on the best protocol for the optimalmanagement of these cases. We report one case of delayed-interval delivery of a dichorionic pregnancy assisted in our center. In this case, prophylactic cerclage, tocolytic therapy and administration of broad-spectrum prophylactic antibiotics enabled delivery at 37 weeks, corresponding to 154 days of latency, which is, to our knowledge, the longest interval described in the literature. The attempt to defer the delivery of the second fetus in peri-viability is an option that should be offered to parents after counseling, providing that the clinical criteria of eligibility are fulfilled. The correct selection of candidates, combined with the correct performance of procedures, as well as fetal and maternal monitoring and early identification of complications increase the probability of success of this type of delivery. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000100061 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000100061 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1701468 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia v.42 n.1 2020 reponame:Revista brasileira de ginecologia e obstetrícia (Online) instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) instacron:FEBRASGO |
instname_str |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
instacron_str |
FEBRASGO |
institution |
FEBRASGO |
reponame_str |
Revista brasileira de ginecologia e obstetrícia (Online) |
collection |
Revista brasileira de ginecologia e obstetrícia (Online) |
repository.name.fl_str_mv |
Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
repository.mail.fl_str_mv |
publicações@febrasgo.org.br||rbgo@fmrp.usp.br |
_version_ |
1754115944975695872 |