Full Text:
영남의대학술지 Yeungnam Univ J Med 2018;35(1):135-139
CASE REPORT
Successful delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a twin pregnancy
Yu-Jin Koo
Department of Obstetrics and Gynecology, Yeungnam University College of Medicine, Daegu, Korea
Corresponding Author: Yu-Jin Koo, Department of Obstetrics and Gynecology, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, Korea
Tel: +82-53-620-3433, Fax: +82-53-654-0676
E-mail: yujinkoo@yu.ac.kr
Received: May 11, 2018, Revised: June 2, 2018 Accepted: June 2, 2018
Abstract
There has been a significant increase in the number of multiple pregnancies that are associated with a high risk of preterm delivery among Korean women. However, to date, delayed-interval delivery in women with multiple pregnancy is rare. We report a case of delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a dichorionic diamniotic twin pregnancy. The patient presented with vaginal leakage of amniotic fluid at 16 weeks of gestation and was diagnosed with a preterm premature rupture of membranes. Three days later, the first twin was delivered, but the neonate died soon after. The second twin remained in utero, and we decided to retain the fetus in utero to reduce the morbidity and mortality associated with a preterm birth. The patient was managed with antibiotics and tocolytics. Cervical cerclage was not performed. The second twin was delivered vaginally at 34 weeks and 5 days of gestation, 128 days after the delivery of the first-born fetus. This neonate was healthy and showed normal development during the 1-year follow-up period. Based on our experience with this case, we propose that delayed-interval delivery may improve perinatal survival and decrease morbidity in the second neonate in highly selected cases.
Key Words: Keywords: Delayed-interval delivery; Multiple pregnancy; Twin pregnancy; Premature birth
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