多胎妊娠的延迟临产:五例单中心经验

IF 0.8 Q4 PEDIATRICS
AJP Reports Pub Date : 2024-05-23 eCollection Date: 2024-04-01 DOI:10.1055/s-0044-1787112
Roaa Hassan Gadeer, Ahlam Alhinai, Karen Fung-Kee-Fung, Ana Werlang
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引用次数: 0

摘要

目的 描述一家三级医院对胎儿间隔延迟分娩(DID)的多胎妊娠的产科管理和围产期结局。方法 这是对渥太华医院 2021 年 12 月至 2022 年期间所有 DID 病例的回顾性病历审查。我们确定并回顾了五例 DID 病例,以获取产科管理和母婴结局方面的信息。我们纳入了符合条件的双胞胎和三胞胎。没有排除多胞胎。本病例系列已获得伦理批准。结果 纳入了四例二绒毛膜双胎和一例三绒毛膜三胎。患者的入院时间为妊娠 17 3/7 周至 21 5/7 周。我们的分娩间隔为 1 至 36 天。6 个多胞胎中有 4 个未能在 DID 中存活。两名存活的新生儿分别于 23 0/7 和 23 2/7 出生,在新生儿重症监护室(NICU)分别住了 111 天和 131 天,出院时体重分别为 3 594 克和 2 743 克。所有 DID 病例均为自然分娩,只有两名患者因产妇脓毒症而需要扩宫。结论 尽管产妇、胎儿和新生儿的发病率和死亡率很高,但如果第一胎双胞胎在 20 孕周前分娩,可以考虑在选定的病例中进行 DID,以改善胎儿的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delayed-Interval Delivery in Multiple Pregnancy: A Single-Center Experience of Five Cases.

Objectives  To describe the obstetric management and perinatal outcomes in multiple pregnancies with delayed-interval delivery (DID) of the cotwin in a tertiary hospital. Methods  This is a retrospective chart review of all cases of DID between December 2021 and 2022 at The Ottawa Hospital. Five cases of DID were identified and reviewed to obtain information on obstetric management and maternal-neonatal outcomes. We included eligible twins and triplets. No multiples were excluded. We obtained ethics approval for this case series. Results  Four sets of dichorionic diamniotic twins and one trichorionic triamniotic triplet were included. Our patients were admitted between 17 3/7 and 21 5/7 weeks of gestation. We achieved an interval delivery range between 1 and 36 days. Four out of six multiples did not survive in DID. The two surviving newborns were born at 23 0/7 and 23 2/7 , stayed in the neonatal intensive care unit (NICU) for 111 and 131 days, discharged with a weight of 3,594 and 2,743 g, respectively. All DID cases were delivered spontaneously except for two patients that required augmentation due to maternal sepsis. Conclusion  Despite the high risk of maternal, fetal, and neonatal morbidity and mortality, if delivery of the first twin occurs before 20 gestational weeks, DID could be considered in selected cases to improve outcomes for the cotwin.

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来源期刊
AJP Reports
AJP Reports PEDIATRICS-
CiteScore
2.20
自引率
0.00%
发文量
30
审稿时长
12 weeks
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