Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy
Abstract. The management of preterm prelabor rupture of membranes (PPROM) before 34 weeks of gestation is intractable, due to pulmonary immaturity, many complications, poor pregnancy outcomes. In particular, the pre-viable PPROM (<23 weeks of gestation) is much more difficult to be treated. The c...
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doaj-f1e4b3201994424fa8a32f03fb85bcfb2021-01-21T02:41:22ZengWolters Kluwer HealthMaternal-Fetal Medicine2641-58952021-01-0131666810.1097/FM9.0000000000000063202101000-00009Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester PregnancyDingxiang Xing0Junnan Li1Yang Pan2Dandan Shi3Department of Obstetrics and Fetal Medicine Unit, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.Department of Obstetrics and Fetal Medicine Unit, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.Department of Obstetrics and Fetal Medicine Unit, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.Department of Obstetrics and Fetal Medicine Unit, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.Abstract. The management of preterm prelabor rupture of membranes (PPROM) before 34 weeks of gestation is intractable, due to pulmonary immaturity, many complications, poor pregnancy outcomes. In particular, the pre-viable PPROM (<23 weeks of gestation) is much more difficult to be treated. The clinical recommendation is to terminate the pregnancy as soon as possible. The pregnancy outcomes of PPROM in the early second-trimester of two twin pregnant women in our hospital were reported to explore the treatment protocols. The pregnancies of the two women developed PROM at 12 and 16 weeks of gestation, respectively. After expectant treatment, they were delivered successfully at 34+6 and 34+4 weeks of gestation, respectively. The assessment of growth and development of infants was normal during the following six months after birth. Therefore, if PPROM occurs in the early second-trimester of pregnancy, the management of PPROM should be individualized, it's a long process which should include comprehensive communication between patients and families regarding alternative treatment options (including expectant management) and risks and benefits of the procedure. In the absence of spontaneous labor or occurrence of complications that would prompt delivery (intra-amniotic infection, abruptio placenta, cord prolapse), and fetal status is normal, the patients should proceed with expectant treatment, induction of labor is commonly performed in pregnancies with PPROM ≥34 weeks of gestation.http://journals.lww.com/10.1097/FM9.0000000000000063 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dingxiang Xing Junnan Li Yang Pan Dandan Shi |
spellingShingle |
Dingxiang Xing Junnan Li Yang Pan Dandan Shi Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy Maternal-Fetal Medicine |
author_facet |
Dingxiang Xing Junnan Li Yang Pan Dandan Shi |
author_sort |
Dingxiang Xing |
title |
Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy |
title_short |
Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy |
title_full |
Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy |
title_fullStr |
Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy |
title_full_unstemmed |
Successful Deliveries of Twins from Two Pregnant Women Following Preterm Prelabor Rupture of Membranes in the Early Second-Trimester Pregnancy |
title_sort |
successful deliveries of twins from two pregnant women following preterm prelabor rupture of membranes in the early second-trimester pregnancy |
publisher |
Wolters Kluwer Health |
series |
Maternal-Fetal Medicine |
issn |
2641-5895 |
publishDate |
2021-01-01 |
description |
Abstract. The management of preterm prelabor rupture of membranes (PPROM) before 34 weeks of gestation is intractable, due to pulmonary immaturity, many complications, poor pregnancy outcomes. In particular, the pre-viable PPROM (<23 weeks of gestation) is much more difficult to be treated. The clinical recommendation is to terminate the pregnancy as soon as possible. The pregnancy outcomes of PPROM in the early second-trimester of two twin pregnant women in our hospital were reported to explore the treatment protocols. The pregnancies of the two women developed PROM at 12 and 16 weeks of gestation, respectively. After expectant treatment, they were delivered successfully at 34+6 and 34+4 weeks of gestation, respectively. The assessment of growth and development of infants was normal during the following six months after birth. Therefore, if PPROM occurs in the early second-trimester of pregnancy, the management of PPROM should be individualized, it's a long process which should include comprehensive communication between patients and families regarding alternative treatment options (including expectant management) and risks and benefits of the procedure. In the absence of spontaneous labor or occurrence of complications that would prompt delivery (intra-amniotic infection, abruptio placenta, cord prolapse), and fetal status is normal, the patients should proceed with expectant treatment, induction of labor is commonly performed in pregnancies with PPROM ≥34 weeks of gestation. |
url |
http://journals.lww.com/10.1097/FM9.0000000000000063 |
work_keys_str_mv |
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