CESAREAN SECTION WITH FETAL EXTRACTION IN THE WHOLE FETAL BLADDER DURING TWIN PREGNANCY


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Abstract

Objective. To determine the efficiency of a cesarean section procedure with extraction of fetuses in the whole fetal bladder during twin pregnancy in relation to gestational age and the order of fetal birth. Subject and methods. Seventy cesarean sections in twins were analyzed, by determining the impact of the fetal extraction procedure on the duration of surgery, blood loss, neonatal status, and the incidence of diseases during the f irst year of life. Results. There was a statistically significant decrease in blood loss with an insignificant increase in the duration of surgery, as well as a considerable improvement of the fetal status after birth and reductions in rehabilitation measures, the length of hospital stay, neurological changes, the frequency of hospitalizations for fetuses extracted in the whole fetal bladder at any gestational age, and irrespective of the order of birth. Conclusion. The cesarean section procedure with fetal extraction in the whole fetal bladder shows its safety and efficiency for both the mother and her fetuses.

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About the authors

Ildar Faridovich Fatkullin

Kazan State Medical University

Email: fatkullin@yandex.ru
M.D., Ph.D., professor, head of Department of Obstetrics and Gynecology No. 2 420012, Russia, Kazan, Butlerova str. 49

Nariman Rustemovich Akhmadeyev

Kazan State Medical University

M.D., teaching assistant, Department of Obstetrics and Gynecology No. 2 420012, Russia, Kazan, Butlerova str. 49

Farid Il'darovich Fatkullin

Kazan State Medical University

M.D., Ph.D., teaching assistant, Department of Obstetrics and Gynecology No. 2 420012, Russia, Kazan, Butlerova str. 49

References

  1. Sunderam S., Kissin D.M., Crawford S., Anderson J.E., Folger S.G., Jamieson D.J. et al. Assisted reproductive technology surveillance -- United States, 2010. MMWR Surveill. Summ. 2013; 62(9): 1-24.
  2. Прохорова В.С., Павлова Н.Г. Перинатальные исходы при многоплодии. Журнал акушерства и женских болезней. 2010; 59(3): 55-9.
  3. Trojner-Bregar A., Tul N., Verdenik I., Novak Z., Blickstein I. Puerperal morbidity following repeat cesarean delivery in twin pregnancies. Arch. Gynecol. Obstet. 2013; 288(3): 551-4.
  4. Barrett J.F., Hannah M.E., Hutton E.K., Willan A.R., Allen A.C., Armson B.A. et al. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N. Engl. J. Med. 2013; 369(14): 1295-305.
  5. Сорокина З.Х. Выживаемость детей в зависимости от метода родоразрешения. Вопросы практической педиатрии. 2008; 3(5): 50-1.
  6. Wilmink F.A., Hukkelhoven C.W., Mol B.W., van der Post J.A., Steegers E.A., Papatsonis D.N. Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. Am. J. Obstet. Gynecol. 2012; 207(6): 480. e1-7.
  7. Linder N., Linder I., Fridman E., Kouadio F., Lubin D., Merlob P. et al. Birth trauma - Risk Factors and Short Term Neonatal Outcome. J. Matern. Fetal Neonatal Med. 2013; 26(15): 1491-5.
  8. Madej A., Szymusik I., Oledzka M., Kosińska-Kaczyńska K., Bomba-Opon D.A., Wielgoś M. Evaluation of changes in the mode of twin deliveries over the years. Ginekol. Pol. 2012; 83(10): 754-9.
  9. Фаткуллин Ф.И. Выбор метода оперативного родоразрешения при преждевременных родах. Казанский медицинский журнал. 2008; 89(5): 610-3.

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