Delayed interval delivary in multiple gestation
Journal Name:
- Cerrahpaşa Tıp Dergisi
Keywords (Original Language):
Abstract (2. Language):
Triplet pregnancy at 16 weeks gestational age referred to outpatient clinic with the complaint of premature rupture of
membranes. At 18 weeks of pregnancy, the presenting fetus was delivered vaginally and parenteral ritodrin tocolysis was initiated.
At 21 weeks of gestation, cervical cerclage procedure (Shirodkar) was performed. Followed by parenteral tocolysis up to 34
weeks of pregnancy, the birth of remaining twins was accomplished by cesarean section. Delayed interval delivery certainly
improves fetal well-being and outcome. Different therapy strategies could be utilized for this purpose. Bed rest, continuous or
intermittent hospitalization, tocolysis, antibiotic therapy, corticosteroid administration over 26 weeks and cervical cerclage are
the main alternatives in the management.
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