2ND-TRIMESTER SELECTIVE TERMINATION OF A TWIN WITH RUPTURED MEMBRANES - ELIMINATION OF FLUID LEAKAGE AND PRESERVATION OF PREGNANCY

被引:13
作者
DORFMAN, SA [1 ]
ROBINS, RM [1 ]
JEWELL, WH [1 ]
STLOUIS, L [1 ]
EVANS, MI [1 ]
机构
[1] ST JOSEPH MERCY HOSP,DEPT OBSTET & GYNECOL,PONTIAC,MI
关键词
TWIN PREGNANCY; SELECTIVE TERMINATION; SPONTANEOUS RUPTURE OF MEMBRANES;
D O I
10.1159/000264231
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Second trimester selective termination has been used for 15 years to prevent the birth of children with fetal abnormalities. We have managed a twin pregnancy in which one twin had spontaneous rupture of membranes at 15 weeks, with continued fluid leakage and oligohydramnios. There was a high risk for infection, and selective termination was performed at 18 weeks of gestation, followed by the term delivery of the remaining twin. Selective termination may preserve the viability of the second twin otherwise considered at high risk for fetal loss.
引用
收藏
页码:186 / 188
页数:3
相关论文
共 3 条
[1]  
Rodeck C., Fetoscopy in the management of twin pregnancies discordant for a severe abnormality, Acta Genet Med Gemellol, 33, pp. 57-60, (1984)
[2]  
Evans M.I., Goldberg J.D., Dommergues M., Et al., Efficacy of second trimester selective termination for fetal abnormalities: International collaborative experience among the world's largest centers, Am J Obstet Gynecol, 171, pp. 90-94, (1994)
[3]  
Romero R., Ghidini A., Bahado-Singh R., Premature rupture of membranes, Medicine of the Fetus and Mother, pp. 1430-1468, (1992)