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10.12659/AJCR.915196 http://scihub22266oqcxt.onion/10.12659/AJCR.915196 31127078/?report=reader!6558120!31127078     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Case+Rep 2019 ; 20 (ä): 739-742 Nephropedia Template TP {{tp|p=31127078|t=2019. Delayed-Interval Delivery of Twin Gestation via Cesarean Section: A Case Report |pdf=|usr=}}{{31127078}} gab.com Text Delayed-Interval Delivery of Twin Gestation via Cesarean Section: A Case Report JO: Am J Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=31127078 #FOAvip BACKGROUND Multifetal pregnancies are at high risk for preterm delivery. Under certain circumstances, delayed vaginal delivery of the second twin is performed to improve morbidity and mortality. Most of the information on optimal management of delayed-interval delivery comes from published case reports in which the first twin was delivered vaginally. This case report is unique in that twin A was delivered via cesarean section. CASE REPORT Our patient was a 21-year-old G2P1, with dichorionic diamniotic twins of unknown gestational age, with prenatal care at a different facility, who presented with preterm prelabor rupture of membranes and cord prolapse. Twin A, with an estimated weight by ultrasound of 528 g, was delivered via cesarean section and twin B was left in utero until the patient went into preterm labor 10 days later. Obstetrical management included tocolytic protocol from the Management of Myelomeningocele Study trial, preterm prelabor rupture of membrane antibiotics with broad-spectrum coverage, and judicious use of fetal lung maturity steroids and magnesium sulfate. CONCLUSIONS This case is important as we have demonstrated that cesarean section in the setting of delayed-interval delivery may be an option to improve survival at the limits of viability. We also discussed our treatment approach and how we delayed delivery of the second twin by 10 days. Unexpectedly, the surviving twin was the one born first, at 22 4/7 weeks determined 2 days after birth by prenatal records. Twit Text FOAVip Delayed-Interval Delivery of Twin Gestation via Cesarean Section: A Case Report ????Am J Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=31127078 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=31127078 #FOAvip English Wikipedia <ref>{{Cite pmid|31127078}}</ref> Delayed-Interval Delivery of Twin Gestation via Cesarean Section: A Case Report #MMPMID31127078 Cao S; Walter L; Valenzuela GJ; Roloff K Am J Case Rep 2019[May]; 20 (ä): 739-742 PMID31127078show ga BACKGROUND Multifetal pregnancies are at high risk for preterm delivery. Under certain circumstances, delayed vaginal delivery of the second twin is performed to improve morbidity and mortality. Most of the information on optimal management of delayed-interval delivery comes from published case reports in which the first twin was delivered vaginally. This case report is unique in that twin A was delivered via cesarean section. CASE REPORT Our patient was a 21-year-old G2P1, with dichorionic diamniotic twins of unknown gestational age, with prenatal care at a different facility, who presented with preterm prelabor rupture of membranes and cord prolapse. Twin A, with an estimated weight by ultrasound of 528 g, was delivered via cesarean section and twin B was left in utero until the patient went into preterm labor 10 days later. Obstetrical management included tocolytic protocol from the Management of Myelomeningocele Study trial, preterm prelabor rupture of membrane antibiotics with broad-spectrum coverage, and judicious use of fetal lung maturity steroids and magnesium sulfate. CONCLUSIONS This case is important as we have demonstrated that cesarean section in the setting of delayed-interval delivery may be an option to improve survival at the limits of viability. We also discussed our treatment approach and how we delayed delivery of the second twin by 10 days. Unexpectedly, the surviving twin was the one born first, at 22 4/7 weeks determined 2 days after birth by prenatal records. |*Cesarean Section[MESH] |*Pregnancy, Twin[MESH] |Female[MESH] |Fetal Membranes, Premature Rupture/*therapy[MESH] |Humans[MESH] |Obstetric Labor, Premature/*therapy[MESH] |Pregnancy[MESH]Delayed-Interval Delivery of Twin Gestation via Cesarean Section: A Ca(epmc).pdf DeepDyve Pubget Overpricing