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Delayed interval delivery in multiple gestations.

T B Song1, J Jeong, Y H Kim

  • 1Department of Obstetrics and Gynecology, Chonnam National University Medical School and Research Institute of Medical Sciences, Chonnam National University, Kwangju, Korea. tbsong@chonnam.chonnam.ac.kr

Archives of Gynecology and Obstetrics
|June 2, 2000
PubMed
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Delayed delivery after fetal death in multiple pregnancies can improve survival for remaining siblings. Careful maternal and fetal monitoring is crucial for successful outcomes in these complex cases.

Area of Science:

  • Maternal-Fetal Medicine
  • Obstetrics
  • Perinatology

Background:

  • Multiple pregnancies present unique challenges in fetal demise management.
  • Delayed delivery after intrauterine fetal death (IUFD) requires careful consideration.

Observation:

  • Two cases of multiple pregnancies with IUFD are presented: a twin pregnancy and a quadruplet pregnancy.
  • In Case 1, a twin pregnancy experienced IUFD at 20 weeks, with delivery of the dead fetus at 27 weeks and the live twin at 33 weeks.
  • In Case 2, a quadruplet pregnancy had an IUFD at 21 weeks, with delivery of the dead fetus at 24 weeks and a live infant at 33 weeks.

Findings:

  • Delayed delivery, with intervals of 42 and 58 days respectively, resulted in the survival of live-born siblings in both cases.
  • The live-born infants were healthy, with appropriate birth weights for their gestational age at 33 weeks.

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Implications:

  • Delayed delivery following fetal death in multiple gestations, coupled with vigilant maternal and fetal monitoring, is a viable strategy.
  • This approach can enhance survival rates and reduce morbidity for the remaining siblings in complex multiple pregnancies.