A Successfully Postponed Delivery of Twins

Overview

Objective:
Description of twin pregnancy after IVF preterm rupture of membranes of fetus A in 22ndgestational week. Abortion of fetus A and successful delayed delivery of twin B.Design: Case report.Setting: Obstetrics and Gynecology Department, 2nd Medical Faculty Charles University and FacultyHospital Motol, Obstetrics and Gynecology Department, 1st Medical Faculty Charles University andGeneral Faculty Hospital, Prague.Methods: Patient A. Š. 34 years old, admitted to the hospital in 23rd gestational week with pretermrupture of membranes of fetus A, after appearing spontaneous uterine contractions terminated theabortion of fetus A. The uterine contractions stopped with toxolytics and after one week ofexpectation interval the cerclage suture of cervix was performed. The following course of pregnancywas protected with antibiotics and 48 hours toxolysis with beta mimetics. The pregnancy continuedwithout any serious complications till 37th gestational week, when infectious markers elevated.Cerclage suture was taken away and after 12 hours interval the labor started. The labor wasterminated with s.c. because of imminent fetal hypoxia.Conclusion: After the abortion of twin A we succeeded to delay delivery interval for 4 months. Theborderline mature neonate was born in good clinical condition and survived without any seriouscomplications.

Key words:
multiple pregnancy, delayed delivery interval