Delayed interval delivery of a second twin resulting in septic shock in the mother

Detalhes bibliográficos
Autor(a) principal: Galvão,Ana
Data de Publicação: 2016
Outros Autores: Gonçalves,Daniela, Rocha,Ana, Rodrigues,Ana, Buchner,Graça, Cunha,Ana, Braga,Jorge
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008
Resumo: Delayed interval delivery is an option in the extremely preterm twin pregnancies, in an attempt to decrease morbidity for the remaining fetuses. We report a case of diamniotic dichorionic pregnancy complicated by premature rupture of membranes of the first fetus at 20 weeks gestation. Premature delivery of the first twin occured nine days latter. Delayed interval delivery of the second twin was attempted using bed rest, tocolysis and antibiotics. Unfortunately, 14 days later spontaneous labour ensued and the birth took place with the mother presenting signs of chorioamnionitis. Septic shock occurred in the mother, with need of mechanical ventilation and aminergic support. It seems to us that it is important to present unsuccessful cases like this in order to discuss what are the optimal management options, while there is no universal agreement on this issue.
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spelling Delayed interval delivery of a second twin resulting in septic shock in the motherdelivery-obstetrictwinsseptic shockDelayed interval delivery is an option in the extremely preterm twin pregnancies, in an attempt to decrease morbidity for the remaining fetuses. We report a case of diamniotic dichorionic pregnancy complicated by premature rupture of membranes of the first fetus at 20 weeks gestation. Premature delivery of the first twin occured nine days latter. Delayed interval delivery of the second twin was attempted using bed rest, tocolysis and antibiotics. Unfortunately, 14 days later spontaneous labour ensued and the birth took place with the mother presenting signs of chorioamnionitis. Septic shock occurred in the mother, with need of mechanical ventilation and aminergic support. It seems to us that it is important to present unsuccessful cases like this in order to discuss what are the optimal management options, while there is no universal agreement on this issue.Centro Hospitalar do Porto2016-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008Nascer e Crescer v.25 n.4 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008Galvão,AnaGonçalves,DanielaRocha,AnaRodrigues,AnaBuchner,GraçaCunha,AnaBraga,Jorgeinfo:eu-repo/semantics/openAccess2024-02-06T17:06:11Zoai:scielo:S0872-07542016000600008Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:40.936462Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Delayed interval delivery of a second twin resulting in septic shock in the mother
title Delayed interval delivery of a second twin resulting in septic shock in the mother
spellingShingle Delayed interval delivery of a second twin resulting in septic shock in the mother
Galvão,Ana
delivery-obstetric
twins
septic shock
title_short Delayed interval delivery of a second twin resulting in septic shock in the mother
title_full Delayed interval delivery of a second twin resulting in septic shock in the mother
title_fullStr Delayed interval delivery of a second twin resulting in septic shock in the mother
title_full_unstemmed Delayed interval delivery of a second twin resulting in septic shock in the mother
title_sort Delayed interval delivery of a second twin resulting in septic shock in the mother
author Galvão,Ana
author_facet Galvão,Ana
Gonçalves,Daniela
Rocha,Ana
Rodrigues,Ana
Buchner,Graça
Cunha,Ana
Braga,Jorge
author_role author
author2 Gonçalves,Daniela
Rocha,Ana
Rodrigues,Ana
Buchner,Graça
Cunha,Ana
Braga,Jorge
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Galvão,Ana
Gonçalves,Daniela
Rocha,Ana
Rodrigues,Ana
Buchner,Graça
Cunha,Ana
Braga,Jorge
dc.subject.por.fl_str_mv delivery-obstetric
twins
septic shock
topic delivery-obstetric
twins
septic shock
description Delayed interval delivery is an option in the extremely preterm twin pregnancies, in an attempt to decrease morbidity for the remaining fetuses. We report a case of diamniotic dichorionic pregnancy complicated by premature rupture of membranes of the first fetus at 20 weeks gestation. Premature delivery of the first twin occured nine days latter. Delayed interval delivery of the second twin was attempted using bed rest, tocolysis and antibiotics. Unfortunately, 14 days later spontaneous labour ensued and the birth took place with the mother presenting signs of chorioamnionitis. Septic shock occurred in the mother, with need of mechanical ventilation and aminergic support. It seems to us that it is important to present unsuccessful cases like this in order to discuss what are the optimal management options, while there is no universal agreement on this issue.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542016000600008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.25 n.4 2016
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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