Delayed interval delivery after the birth of the first fetus from multiple gestation (description of the serial cases)


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Abstract

Objective. To evaluate the reasonability of delayed labor of pregnancy after preterm labor of the first fetus from the multiple gestation. Subjects and methods. We tried to delay delivery of the second/third fetus from the multiple pregnancy, in all cases of preterm labor (22-32 weeks) or late abortion in the absence of contraindications for pregnancy prolongation Results. In 2011 - 2015 we tried to prolong pregnancy for the second twin in 11 cases (10 twins, 1 triplets). In 6 cases second twin was born immediately after the first one. In 5 cases delivery of the second twin was delayed for 3-84 days. In the cases of delayed delivery survived 5 of 6 fetuses (second/third fetuses) and only one fetus of 5 (first fetuses) Conclusion: delayed delivery of the second twin during preterm labor is an effective method and provides reduction of perinatal mortality.

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About the authors

Yuliya Yeduardovna Dobrohotova

N.I. Pirogov Russian National Research Medical University

Email: pr.dobrohotova@mail.ru
PhD, MD, The head of the department of Obstetrics and Gynecology, Medical Faculty

Oleg Vasil’evich Makarov

N.I. Pirogov Russian National Research Medical University

Email: profmakarov@mail.ru
PhD, MD, professor of the Department of Obstetrics and Gynecology, Medical Faculty

Pavel Andreevich Kuznetsov

N.I. Pirogov Russian National Research Medical University; Perinatal Centre of City Hospital № 24

Email: poohsmith@mail.ru
PhD, The head of the consultative department for pregnant women, Perinatal center of City Hospital № 24, associate professor of the Department of Obstetrics and Gynecology, Medical Faculty, Pirogov Russian National Research Medical University.

Anton Sergeevich Olenev

Perinatal Centre of City Hospital № 24

Email: felidis@mail.ru
PhD, The head

Elena Petrovna Ozimkovskaja

Branch №1 of the Centre of family planning and reproduction

Email: info@rd10.mosgorzdrav.ru
The head

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