García-Benitez CQ, Cevallos BJ, Ortiz RH

Language: Spanish
References: 14
Page: 91-94
PDF size: 186.45 Kb.

ABSTRACT

Background: The incidence of multiple pregnancy has grown, some of these cases are attributed to assisted reproduction techniques, with the consequent increase of maternal-fetal morbidity. There have been few reported cases of delayed interval delivery with different perinatal outcomes. This is a case report of a double twin pregnancy with delayed delivery of the second fetus after birth of the first one within 15.5 weeks of pregnancy, and the second one birth at 38.4 weeks, 158 days after the first one. Reported diagnosis, treatment and perinatal outcomes.
Conclusions: The mean reported time to extend the pregnancy after the evacuation of the first one is 7 to 153 days. In this case the pregnancy was held 158 days, more than in the rest of the reported cases, maybe due to gestational delivery age of the first fetus (15.5 weeks) compared to fetuses of 20 to 28 weeks reported in the literature. The approach of these specific cases must be individualized. There have been no trials enough so we can´t know with certainty which treatment is the best of all.

REFERENCES

1. Cristinelli S, Fresson J, André M, Monnier-Barbarino P. Obstetrics: Management of Labor, Delivery, and the Puerperium and Management of Delayed-Interval Delivery in Multiple Gestations. Obstetrical & Gynecological Survey 2005;60(12):785-787.

2. Livingston JC, Livingston LW, Ramsey RR, Sibai BM. Secondtrimester asynchronous multifetal delivery results in poor perinatal outcome. Obstetrics & Gynecology 2004;103(1):77-81.

3. Oyelese Y, Ananth CV, Smulian JC, Vintzileos AM. Delayed interval delivery in twin pregnancies in the United States: Impact on perinatal mortality and morbidity.

4. Am J Obstet Gynecol 2005;192 (2):439-444.

5. Tzafettas JM, Farmakides G, Delkos D, Kalogiros G, et al. Asynchronous delivery of twins and triplets with an interval period ranging from 48 hours to 19 weeks. Clin Exp Obstet Gynecol. 2004;31(1):53-55.

6. Porreco R, Eleanor D, Heyborne K, Lindsay L. Delayedinterval delivery in multifetal pregnancy. Am J Obstet Gynecol 1998;178(7).

7. Van der Straeten F, De Ketelaere K, Temmerman M. Delayed interval delivery in multiple pregnancies. EJOG 2001;99(1):85-89.

8. Porreco R, Farkouh L. Delayed-interval delivery in multifetal pregnancy. Up to date 2009.

9. Arabin B, van Eyck, J Delayed-Interval Delivery. In: Twin and Triplet Pregnancies: Seventeen Years of Experience in one Perinatal Center. Obstetrical & Gynecological Survey 2009;64(6):361-362.

10. Klearhou N, Mamopoulos A, Pepes S, Daniilidis A, et al Delayed interval delivery in twin pregnancy: A case report We present a case of delayed interval delivery in twins. Hippokratia. 2007;11(1):44-46.

11. Kalchbrenner M, et al. Delayed delivery of multiple gestations: Maternal and neonatal outcomes. Am J Obstet Gynecol 1998;179(5).

12. Labib M. Successful obstetrical management of 110-day interwin delivery interval without cerclage: counseling and conservative management approach to extreme asynchronous twin birth. BMC Pregnancy and Childbirth 2004.

13. Abboud P, et al. Intentional delayed delivery in twin pregnancy. Two additional cases and literature review. Eur J Obstet Gynecol Reprod Biol 1997;75(2):139-143.

14. Hamersley SL. Delayed-interval delivery in twin pregnancies. J Reprod Med 2002;47(2):125-130.