Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0728731 (prematurity)
 7,134 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Delayed deliveries are rarely encountered in multiple pregnancies. They are useful in case of premature fetus. We report two case of delayed delivery; the first one of 23 days in a twin pregnancy, and the second one of 4 days in a triplet pregnancy. In both cases, the first delivered fetus died, and the later one or ones survived. Delayed delivery is a good management practice for multiple pregnancies in case of prematurity if no contraindications exist.
 ...
PMID:[Delayed delivery. Two cases, and review of the literature]. 947 34

The incidence of multiple pregnancies increases with concomitant increased risk in maternal and fetal complications. Delayed delivery is still a rare occurrence in the literature despite advances in reproductive medicine and increasing number of multiple gestations. Authors report a case of delayed delivery in a dichorionic, diamniotic twin pregnancy. A 28-year-old woman delivered her first twin in the 25th week of gestation, 4 weeks after the preterm rupture of membranes. The newborn died on the first day of life due to prematurity. Cervical cerclage was performed, patient received antibiotics, corticosteroids and tocolytics. The second twin was successfully delivered by cesarean section in the 28th week of pregnancy, 18 days after the first twin was born. The baby was discharged home in good condition on the 64th day after the delivery. The conclusion was, that using tocolysis, antenatal steroids to stimulate lung maturation, antibiotics and cervical cerclage after delivery of the first fetus we can improve the life-expectancy of the retained fetus. Delayed delivery is a reasonable option for patients with multifetal pregnancies and premature delivery of the first baby or preterm rupture of membranes in the second trimester.
 ...
PMID:[Delayed delivery in multiple gestations--a case report and review of the literature]. 1575 Dec 20