Delayed delivery of multiple gestations: Maternal and neonatal outcomes

Kalchbrenner, Mark; Weisenborn, Elizabeth J.; Chyu, Jacquelyn K.; Kaufman, Howard K.; Losure, Thomas A.

doi:10.1016/s0002-9378(98)70122-x

Cited by 45 publications

(41 citation statements)

References 11 publications

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“…Several conditions must be present to apply the strategy of a delayed delivery in a multiple pregnancy when the first triplet aborts due to PROM (Arabin & Van Eyck, 2009) (Kalchbrenner et al, 1998;Van der Streaten et al 2001), all these conditions were present in this case. The patient had no other risk factor for PROM.…”

Section: Discussionmentioning

confidence: 76%

Extremely asynchronic delivery of second and third fetuses in a triple pregnancy

Fabres¹,

Germaín²,

Quiroz³

et al. 2014

JBRA Assisted Reproduction

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Report of clinical treatment of a patient with a triple pregnancy after ICSI, who had the abortion of the first fetus at 16 weeks of gestation and the "asynchronic delivery" of the other two, at 28 weeks. A reproductive inflammatory process previously diagnosed in the couple could have been related with the premature rupture of membranes (PROM) occurred at 15.5 weeks of pregnancy. The clinical interventions described, made possible the delayed delivery and the survival of the other two triplets. This case shows us the importance to transfer no more than two embryos during ART, to avoid the catastrophic consequences of a triple pregnancy.

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Section: Discussionmentioning

confidence: 76%

Extremely asynchronic delivery of second and third fetuses in a triple pregnancy

Fabres¹,

Germaín²,

Quiroz³

et al. 2014

JBRA Assisted Reproduction

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“…It is possible that the cost of enduring a multifetal pregnancy could be too great if certain resources are not as abundant. Numerous health issues can arise from a multifetal gestation, placing morbidity or mortality risks on the fetuses and mother (Kalchbrenner et al, 1998). It is possible that preterm infection (potentially indicated by the observed red bumps across the neonate ventrum) could have been responsible for the infant's death (Darmstadt et al, 2000), whether stillborn or shortly after birth.…”

Section: Discussionmentioning

confidence: 99%

Possible asynchronous parturition in a multifetal strepsirrhine: Hapalemur meridionalis

Eppley

Donati²,

Ganzhorn

2016

Anim Reprod

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Although infrequent among primates, twinning is common among strepsirrhines, a group of primates that includes the lemurs of Madagascar. As with any multifetal pregnancy, complications during gestation or even parturition can arise due to various factors (e.g., amniotic infection, stress). On rare occasions during labour of twins, parturition may be delayed between the two neonates, a phenomenon known as 'delayed interval delivery' that has been well-documented among the human medical journals. Based on circumstantial evidence, we report an opportunistic account of a habituated, adult female southern bamboo lemur (Hapalemur meridionalis) from Mandena, southeast Madagascar, first giving birth to an infant in midOctober 2013 (found deceased), and then birthing a live infant sometime between 5-21 days later. Similar to cases reported in human medical literature, the second infant survived and appeared to stay healthy until the conclusion of the study. Our account of asynchronous parturition of twins in a non-human primate is, to our knowledge, the first reported case in the literature.

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“…Exclusion criteria must be respected [24][25][26] : fetal pathology, monochorionicity, placenta praevia, abruptio placentae, and pre-eclampsia. Infection is a debated contraindication.…”

Section: Commentmentioning

confidence: 99%

Management of Delayed-Interval Delivery in Multiple Gestations

Cristinelli¹,

Fresson²,

André³

et al. 2005

Fetal Diagn Ther

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Objective: Proving that delayed delivery is possible, debating its modality, suggesting a guideline for its managing. Method: Six cases of delayed delivery were treated at the Maternity Hospital of Nancy, between 1979 and 2001, and the results were compared to a literature review of 148 found thanks to Medline database. Results: Delayed delivery reduces the risk of neonatal mortality and morbidity. The delivery interval is 2–93 (median 7) days in our experience and 2–153 (median 31) days in the literature. After the first expulsion, cerclage was used in 60% of the cases, prophylactic tocolysis and antibiotics in 79% and 71%, respectively. Conclusion: There is no consensus for its management but it must be performed with precise conditions to restrict both maternal and fetal risks. Our study is supporting an interventionist attitude with cerclage, prophylactic tocolysis and antibiotics.

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Delayed delivery of multiple gestations: Maternal and neonatal outcomes

Cited by 45 publications

References 11 publications

Extremely asynchronic delivery of second and third fetuses in a triple pregnancy

Extremely asynchronic delivery of second and third fetuses in a triple pregnancy

Possible asynchronous parturition in a multifetal strepsirrhine: Hapalemur meridionalis

Management of Delayed-Interval Delivery in Multiple Gestations

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