Purpose: To study the effectiveness of emergency cervical cerclage in order to delay the delivery interval after miscarriage of the first fetus in dichorionic twin pregnancies.
Methods: Dichorionic twin pregnancies after miscarriage of the first fetus (<24 weeks) were exclusively included in the present analysis. Prolongation of delivery interval was managed with additional emergency cervical cerclage in the already initiated tocolytic therapy. Obstetric outcomes (cervical dilatation, gestational age at delivery of the first twin, interval between miscarriage and delivery of the second fetus) and neonatal outcomes [neonatal birth weight, Apgar score in the first and fifth minute, admission to Neonatal Intensive Care Unit (NICU)] of the second twin were analyzed.
Results: Five cases of dichorionic twin pregnancies were included in our study. Cervical dilatation (mean ± SD) at admission time was 3.7 ± 1.4 cm. The gestational week at delivery of the first twin was 20.6 ± 2.6. The median delivery interval was 72 days and the maximum 121 days. Mean gestational age at delivery of the second twin was 28.8 ± 7.2 weeks and mean birth weight 1,772.5 ± 742 g. The rate of live birth was 80 %, while NICU admission was demanded in 75 % of the live births. All neonates discharged from NICU remained alive after 1 month of life.
Conclusion: The present study demonstrated beneficial effect concerning obstetric and neonatal outcomes of the second twin after performing emergency cervical cerclage to postpone the delivery interval in premature dichorionic twin pregnancies.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00404-012-2362-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effects of exercise on vascular remodelling and fetal growth in uncomplicated and abortion-prone mouse pregnancies.
Sci Rep
December 2024
Robinson Research Institute, School of Biomedicine, University of Adelaide, Adelaide, SA, Australia.
Studies in humans and rodents show exercise in pregnancy can modulate maternal blood pressure, vascular volume, and placental efficiency, but whether exercise affects early uteroplacental vascular adaptations is unknown. To investigate this, CBA/J female mice mated with BALB/c males to generate healthy uncomplicated pregnancies (BALB/c-mated) or mated with DBA/2J males to generate abortion-prone pregnancies (DBA/2J-mated), were subjected to treadmill exercise (5 days/week, 10 m/min, 30 min/day for 6 weeks before and throughout pregnancy), or remained sedentary. In uncomplicated pregnancies, exercise caused symmetric fetal growth restriction in fetuses evidenced by reductions in fetal weight, crown-to-rump length, abdominal girth and biparietal diameter.
View Article and Find Full Text PDFBovine trichomoniasis: A hidden threat to reproductive efficiency.
Open Vet J
November 2024
Research Center for Preclinical and Clinical Medicine, National Research and Innovation Agency (BRIN), Bogor, Indonesia.
Bovine trichomoniasis is a reproductive illness that affects cattle causing pyometra, early to mid-pregnancy miscarriages, and lower birth rates. is a flagellated protozoan which first discovered in France in 1888 and composts three phases during its lifecycle including trophozoite, cyst, and pseudocyst. In addition, several factors contributed to the prevalence of trichomoniasis and fall into three categories are management, cow, and bull-related factors.
View Article and Find Full Text PDFVirulence profiling of Campylobacter spp., C. jejuni and C. fetus subsp. fetus abortions rise in sheep farms in Kashmir, India.
Pol J Vet Sci
June 2024
Campylobacter Laboratory; Division of Veterinary Microbiology and Immunology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir University of Agricultural Sciences and Technology of Kashmir (SKUAST-K), Shuhama (Aulesteng)-19006, Jammu and Kashmir, India.
Campylobacter spp. are the leading causes of ovine abortions leading to severe economic losses and a source of bacterial food borne illness in humans, posing a major public health concern. This study reports an increase in Brucella negative abortions in sheep farms in Kashmir, India in the last few years.
View Article and Find Full Text PDFImmunogenicity and protective efficacy of recombinant chimeric antigens based on surface proteins of .
Front Immunol
December 2024
Department of Molecular Microbiology, Institute of Microbiology, Biotechnology and Immunology, Faculty of Biology and Environmental Protection, University of Lodz, Lodz, Poland.
Introduction: Toxoplasmosis is caused by the opportunistic, cosmopolitan protozoan is one of the most common parasitoses in the world. This parasite can pose a threat to people with immunodeficiency but also to the fetus, since the invasion can lead to miscarriages. Moreover, this parasite can contribute to economic losses in livestock farming.
View Article and Find Full Text PDFBIOCHEMICAL MARKERS OF MISCARRIAGE ASSOCIATED WITH THE INTRAPLACENTAL ACCUMULATION OF 137Cs.
Probl Radiac Med Radiobiol
December 2024
State Institution «Ukrainian Сenter of Maternity and Childhood of the National Аcademy of Мedical Sciences of Ukraine», 8 Platona Mayborody Str., Kyiv, 04050, Ukraine.
Unlabelled: The impact of the environment on human health in modern conditions cannot be underestimated. The study of thepathogenesis of disease is impossible without establishing the factors of destabilization of biological membranes.The article highlighted the problem of lipid peroxidation and antioxidant defense associated with the accumulationof radiocesium in the placenta.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!