Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-23T07:14:09.243Z Has data issue: false hasContentIssue false
  • English
  • Français

Delayed Interval Delivery of Two Remaining Fetuses in Quintuplet Pregnancy After Embryo Reduction: Report and Review of the Literature

Published online by Cambridge University Press:  01 August 2014

M.W. de Jong ,
R.A. van Lingen ,
J. Wildschut  and
J. van Eijck
M.W. de Jong*
Affiliation:
Departments of Obstetrics, The Netherlands
R.A. van Lingen
Affiliation:
Departments of Pediatrics, Sophia Hospital, Zwolle, The Netherlands
J. Wildschut
Affiliation:
Departments of Obstetrics, The Netherlands
J. van Eijck
Affiliation:
Departments of Obstetrics, The Netherlands
*
Department of Pediatrics, Sophia Ziekenhuis, Dr. van Heesweg 2, 8025 AB Zwolle, The Netherlands

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A case report is presented with a prolonged interval between delivery of 25 days. A quintuplet pregnancy resulted from hormonal stimulation of ovulation. Two fetuses remained after an embryo reduction was performed at 11 weeks gestation. At 22.5 weeks gestation the first twin (310 g) was delivered after spontaneous rupture of membranes. Using tocolytic agents, the second twin (710 g) was born at 26 weeks of gestation. This case is discussed and a review of the literature is given.

Keywords

Embryo reductionTwin pregnancyDelayed deliveryTocolysis
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 41 , Issue 1 , January 1992 , pp. 49 - 52
Copyright
Copyright © The International Society for Twin Studies 1992

References

REFERENCES

1.Abrams, RH (1957): Double pregnancy. Report of a case with thirty-five days between deliveries. Obstet Gynecol 9: 435–438.Google Scholar
2.Brion, L, Alexander, S, Clercx, A, Avni, EF, Kirkpatrick, C, Vermeylen, D, Detemmerman, D, Pardou, A (1986): Fetal Ureaplasma infection in second twin born 60 days after delivery of the first in a patient with recurrent spontaneous abortion, a case report. J Perinat Med 14: 201–4.Google Scholar
3.Cardwell, MS, Caple, P, Baker, CL (1988): Triplet pregnancy with delivery on three separate days. Obstet Gynecol 71: 448–9.Google Scholar
4.Charles, D, Edwards, WR (1981): Infectious complications of cervical cerclage. Am J Obstet Gynecol 141: 1065–1071.CrossRefGoogle ScholarPubMed
5.Conradt, A, Weidinger, H (1982): Successful further prolongation of immature twin pregnancy by tocolysis and re-cerclage following unavoidable delivery of the first foetus after emergency cerclage. Geburtsh Frauenheilkd 42: 79–83.CrossRefGoogle ScholarPubMed
6.Drucker, P, Finkel, J, Savel, LE (1960): Sixty-five day interval between the birth of twins. Am J Obstet Gynecol 80: 761–762.Google Scholar
7.Eicher, W (1970): 72 tatige Geburtspause bei Zwillingen. Munch Med Wochenschr 112: 422–5.Google Scholar
8.Feichtinger, W, Breitenecker, G, Frohlich, H (1989): Prolongation of pregnancy and survival of twin B after loss of twin A at 21 weeks gestation. Am J Obstet Gynecol 161: 891–3.Google Scholar
9.Granitzka, S, Schramm, K, Halberstadt, E, Glatzer, H (1981): Erhaltung von Zwei Zwillingsschwangerschaften mittels Tokolyse und Cerclage bei vorzeitiger Geburt eines Feten. In: Schmidt, E, Dudenhausen, JW, Saling, E Perinatale Medizin Band 8. Stuttgart/ New York: Georg Thieme Verlag, pp. 429–430.Google Scholar
10.Hobbins, JC (1988): Selective reduction a perinatal necessity? New Eng J Med 318: 1062–1063.Google Scholar
11.Mikkelsen, AL, Hansen, PK (1986): Survival of the second twin 37 days after abortion of the first. Acta Obstet Gynecol Scand 65: 795–6.Google Scholar
12.Omsjo, IH, Alsol, R (1984): Twin pregnancy: Report of a case with 35 days between deliveries. Europ J Obstet Gynaecol Reprod Biol 17: 413–415.CrossRefGoogle ScholarPubMed
13.Simpson, CW, Olatunbosun, OA, Baldwin, VJ (1984): Delayed interval and delivery in triplet pregnancy: Report of a single case and review of the literature. Obstet Gynecol 64 (suppl): 8s–11.Google Scholar
14.Tacchi, D, Dunlop, W (1987): A multiple pregnancy after in-vitro fertilization. Case report. Br J Obstet Gynaecol 94: 1223–1224.CrossRefGoogle ScholarPubMed
15.Thomson, RJ (1978): Delayed interval delivery of a twin pregnancy. Obstet Gynecol 52 (suppl): 37s–40s.Google Scholar
16.Woolfson, J, Fay, T, Bates, A (1983): Twins with 54 days between delivery. Case report. Br J Obstet Gynaecol 90: 685–6.Google Scholar