Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report
A 36-year-old primigravida conceived dichorionic diamniotic twins via in vitro fertilization. The first twin experienced premature rupture of membranes at 18 weeks and 5 days of gestation. Despite antibiotic treatment, the first fetus suffered intrauterine fetal death and was delivered three days la...
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MDPI AG
2024-11-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/11/1800 |
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| author | Won-Kyu Jang |
| author_facet | Won-Kyu Jang |
| author_sort | Won-Kyu Jang |
| collection | DOAJ |
| description | A 36-year-old primigravida conceived dichorionic diamniotic twins via in vitro fertilization. The first twin experienced premature rupture of membranes at 18 weeks and 5 days of gestation. Despite antibiotic treatment, the first fetus suffered intrauterine fetal death and was delivered three days later at 19 weeks and 1 day. Using ritodrine, the remaining umbilical cord was repositioned, and an emergency cerclage was performed. Ritodrine was continuously administered post-surgery but discontinued at 24 weeks and 3 days due to improved uterine contractions. The patient later delivered a healthy baby via cesarean section at 38 weeks due to decreased fetal movement and breech presentation. This rare case of premature rupture of membranes in one of the twins before the viability term, followed by a successful delayed delivery, is presented here. |
| format | Article |
| id | doaj-art-f8069d0b5e174e6d9effcddf90edd0ee |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-f8069d0b5e174e6d9effcddf90edd0ee2024-11-26T18:12:28ZengMDPI AGMedicina1010-660X1648-91442024-11-016011180010.3390/medicina60111800Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case ReportWon-Kyu Jang0Department of Obstetrics and Gynecology, Daegu Dongsan Hospital, Keimyung University School of Medicine, 56, Dalseong-ro, Jung-gu, Daegu 41931, Republic of KoreaA 36-year-old primigravida conceived dichorionic diamniotic twins via in vitro fertilization. The first twin experienced premature rupture of membranes at 18 weeks and 5 days of gestation. Despite antibiotic treatment, the first fetus suffered intrauterine fetal death and was delivered three days later at 19 weeks and 1 day. Using ritodrine, the remaining umbilical cord was repositioned, and an emergency cerclage was performed. Ritodrine was continuously administered post-surgery but discontinued at 24 weeks and 3 days due to improved uterine contractions. The patient later delivered a healthy baby via cesarean section at 38 weeks due to decreased fetal movement and breech presentation. This rare case of premature rupture of membranes in one of the twins before the viability term, followed by a successful delayed delivery, is presented here.https://www.mdpi.com/1648-9144/60/11/1800delayed deliverytwin pregnancycervical cerclagepremature rupture of membranes |
| spellingShingle | Won-Kyu Jang Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report Medicina delayed delivery twin pregnancy cervical cerclage premature rupture of membranes |
| title | Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report |
| title_full | Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report |
| title_fullStr | Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report |
| title_full_unstemmed | Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report |
| title_short | Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report |
| title_sort | successful delayed interval delivery in twin pregnancy after early premature rupture of membranes of a leading fetus a case report |
| topic | delayed delivery twin pregnancy cervical cerclage premature rupture of membranes |
| url | https://www.mdpi.com/1648-9144/60/11/1800 |
| work_keys_str_mv | AT wonkyujang successfuldelayedintervaldeliveryintwinpregnancyafterearlyprematureruptureofmembranesofaleadingfetusacasereport |