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


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

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.

Texto integral

Acesso é fechado

Sobre autores

Ildar 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 Akhmadeyev

Kazan State Medical University

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

Farid Fatkullin

Kazan State Medical University

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

Bibliografia

  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.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Bionika Media, 2015

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies