Successful treatment with home care during the second half of a twin pregnancy complicated by a short cervix: A case report

Abstract

Introduction: Twin pregnancies are associated with a risk of premature delivery.
 Case presentation: A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes. The patient received specialized bed rest and support, and the pregnancy was successfully completed at 36 weeks and 5 days.
 Conclusion: In the second half of the pregnancy, due to the risk of emergency cervical cerclage, expectant management seems an appropriate and safe approach.

The correlation between parity and incidence of premature rupture of membranes

“…If the mother's cervix is incompetent, it will predispose to premature rupture of membranes. This is consistent with the theory stated by Zarei that one of the factors predisposing to premature rupture of membranes is the incompetent cervix [14] . There are still many grand mothers who do not experience premature rupture of membranes.…”

“…Mothers who have given birth several times are more at risk of experiencing PROM because vascularity in the uterus has a disruption that results in brittle membrane connective tissue which is fragile and eventually spontaneous rupture [13] . This study's results are in line with Ferguson's research, with the title "Preterm premature rupture of membranes: nutritional and socioeconomic factors," which states that PROM incidence mostly occurs in mothers with primipara and multipara parity [14] . The study results showed that a small percentage of respondents had grand multipara parity as many as 598 respondents (20.1%).…”

The Correlation Between Parity and Premature Rupture of Membrane (PROM) Incidence

“…If the mother's cervix is incompetent, it will predispose to premature rupture of membranes. This is consistent with the theory stated by Zarei that one of the factors predisposing to premature rupture of membranes is the incompetent cervix [29]. In grande multipara mothers who do not experience premature rupture of membranes, grand multipara should be susceptible to the incidence of premature rupture of membranes.…”