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Related Experiment Videos

Delayed-interval delivery in twin pregnancies.

Sheri L Hamersley1, Suzanne K Coleman, Niki K Bergauer

  • 1Department of Maternal-Fetal Medicine, Shady Grove Adventist Hospital, 9707 Medical Center Drive, Suite 230, Rockville, MD 20850, USA.

The Journal of Reproductive Medicine
|March 9, 2002
PubMed
Summary

Delayed-interval delivery in twin pregnancies can significantly prolong gestation, offering a clinical benefit to the second twin. This approach, involving rescue cerclage and medical management, resulted in viable births for most second twins in a small case series.

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Area of Science:

  • Maternal-Fetal Medicine
  • Perinatology
  • Obstetrics

Background:

  • Delayed-interval delivery is an intervention for twin pregnancies where the second twin is delivered after a delay following the birth of the first.
  • This strategy aims to improve outcomes for the second twin by allowing for further fetal development.

Purpose of the Study:

  • To evaluate pregnancy outcomes in twin gestations undergoing delayed-interval delivery.
  • To assess the efficacy and safety of a management protocol for delayed-interval delivery.

Main Methods:

  • Retrospective review of six twin pregnancies with attempted delayed-interval delivery.
  • Management protocol included rescue cerclage, antibiotics, corticosteroids, and tocolysis after the first twin's delivery.

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Main Results:

  • Five of six twin gestations achieved viable birth of the second twin.
  • Median pregnancy prolongation was 93 days (range: 23-153 days).
  • Second twins experienced short neonatal intensive care unit stays; no infant required ventilation.

Conclusions:

  • Delayed-interval delivery can provide clinically significant gestational prolongation for the second twin.
  • The intervention demonstrated benefit to the second twin without significant maternal morbidity in this case series.