DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER

Detalhes bibliográficos
Autor(a) principal: Galvão, Ana
Data de Publicação: 2017
Outros Autores: Gonçalves, Daniela, Rocha, Ana, Rodrigues, Ana, Buchner, Graça, Cunha, Ana, Braga, Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802
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 INSEPTIC SHOCK IN THE MOTHERParto diferido de um gémeo causador de choque sético na mãeCase ReportsDelayed 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.O parto diferido de um gémeo é uma opção nas gestações complicadas por prematuridade extrema, como forma de tentar diminuir a morbilidade dos fetos restantes. O caso aqui apresentado é de uma gravidez bicoriónica biamniótica complicada por rotura prematura de membranas do primeiro feto às 20 semanas de gestação. O parto do primeiro gémeo ocorreu nove dias depois. O parto diferido do segundo gémeo foi tentado, recorrendo a repouso, tocólise e antibióticos. Contudo, 14 dias depois, ocorreu o parto espontâneo do segundo gémeo, com a mãe a apresentar sinais e sintomas de corioamnionite. A mãe acabou por desenvolver um choque séptico, com necessidade de ventilação mecânica e suporte aminérgico. A apresentação de casos de insucesso como este parece-nos importante, porque permite discutir as opções terapêuticas, enquanto não existir um con- senso universal sobre este assunto.Centro Hospitalar Universitário do Porto2017-02-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802eng2183-9417Galvão, AnaGonçalves, DanielaRocha, AnaRodrigues, AnaBuchner, GraçaCunha, AnaBraga, Jorgeinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:23Zoai:ojs.revistas.rcaap.pt:article/10802Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:23.038673Repositório 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 INSEPTIC SHOCK IN THE MOTHER
Parto diferido de um gémeo causador de choque sético na mãe
title DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
spellingShingle DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
Galvão, Ana
Case Reports
title_short DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
title_full DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
title_fullStr DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
title_full_unstemmed DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER
title_sort DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC 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 Case Reports
topic Case Reports
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 2017
dc.date.none.fl_str_mv 2017-02-03T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802
url https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv 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
repository.mail.fl_str_mv
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