Delayed-interval delivery of an in vitro-fertilized triplet pregnancy with premature rupture of membranes in the second trimester

dc.contributor.authorYuce, Mehmet Ali
dc.contributor.authorAybatli, Aysun
dc.contributor.authorKaplan, Petek Balkanli
dc.date.accessioned2024-06-12T10:59:13Z
dc.date.available2024-06-12T10:59:13Z
dc.date.issued2010
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe incidence of multiple pregnancies is increasing with the availability of assisted reproductive techniques. Preterm labor and preterm rupture of membranes are major complications in such pregnancies. Preterm delivery of the first fetus is often followed by delivery of the remaining fetuses. However, conservative management in such circumstances might allow for fetal lung maturity in the remaining fetuses. We present a case of conservative management of an in vitro-fertilized triplet pregnancy with early loss of the leading triplet. A 33-year-old woman in the 21st week of a triplet pregnancy delivered her one of the fetuses, 4 days after the preterm rupture of membranes. To save the surviving fetuses, ligation of the umbilical cord at the cervical level was performed. Patient received antibiotics, tocolytics and corticosteroids after then. The second and the third fetuses were successfully delivered by cesarean section in the 28th week of pregnancy, 43 days after the first fetus was born. We can improve the life expectancy of the retained fetuses by conservative management using tocolytics, antenatal steroids to stimulate lung maturation and antibiotics following the delivery of the first fetus.en_US
dc.identifier.doi10.1007/s00404-009-1172-3
dc.identifier.endpage272en_US
dc.identifier.issn0932-0067
dc.identifier.issn1432-0711
dc.identifier.issue2en_US
dc.identifier.pmid19847453en_US
dc.identifier.scopus2-s2.0-77950347778en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage269en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-009-1172-3
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20368
dc.identifier.volume281en_US
dc.identifier.wosWOS:000273081200016en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofArchives Of Gynecology And Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDelayed-Interval Deliveryen_US
dc.subjectMultiple Pregnanciesen_US
dc.subjectMultifetal Pregnanciesen_US
dc.subjectMultiple Pregnanciesen_US
dc.subjectTwin Pregnanciesen_US
dc.subjectCerclageen_US
dc.subjectOutcomesen_US
dc.subjectSeriesen_US
dc.titleDelayed-interval delivery of an in vitro-fertilized triplet pregnancy with premature rupture of membranes in the second trimesteren_US
dc.typeArticleen_US

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