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


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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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作者简介

Yuliya 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 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 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 Olenev

Perinatal Centre of City Hospital № 24

Email: felidis@mail.ru
PhD, The head

Elena Ozimkovskaja

Branch №1 of the Centre of family planning and reproduction

Email: info@rd10.mosgorzdrav.ru
The head

参考

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