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Canu A, Giannini A, Ghirri P, et al. Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes. Case Rep Womens Health. 2019;22:e00104doi: 10.1016/j.crwh.2019.e00104.
Canu, A., Giannini, A., Ghirri, P., Malacarne, E., Pancetti, F., Simoncini, T., & Mannella, P. (2019). Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes. Case reports in women's health, 22e00104. https://doi.org/10.1016/j.crwh.2019.e00104
Canu, A, et al. "Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes." Case reports in women's health vol. 22 (2019): e00104. doi: https://doi.org/10.1016/j.crwh.2019.e00104
Canu A, Giannini A, Ghirri P, Malacarne E, Pancetti F, Simoncini T, Mannella P. Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes. Case Rep Womens Health. 2019 Mar 19;22:e00104. doi: 10.1016/j.crwh.2019.e00104. eCollection 2019 Apr. PMID: 30976524; PMCID: PMC6439313.
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Case Rep Womens Health. 2019 Mar 19;22:e00104. doi: 10.1016/j.crwh.2019.e00104. eCollection 2019 Apr.

Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes.

Case reports in women's health

A Canu, A Giannini, P Ghirri, E Malacarne, F Pancetti, T Simoncini, P Mannella

Affiliations

  1. Department of Clinical and Experimental Medicine, Division of Gynecology and Obstetrics, Università di Pisa, Italy.

PMID: 30976524 PMCID: PMC6439313 DOI: 10.1016/j.crwh.2019.e00104

Abstract

In multiple pregnancies with threatened premature delivery or preterm premature rupture of membranes (pPROM) of a single sac, prolonging pregnancy after the delivery of the first baby may improve the chances of survival of the second baby. We report the delayed delivery of a second baby in a twin pregnancy with pPROM and very premature delivery of the first baby. This condition is exceptional and there are no validated medical protocols for its management; the scientific evidence is still controversial. In our case, after the birth of the first baby, pregnancy was continued for 29 days, with monitoring of maternal and fetal parameters, which enabled the delivery of the second baby with improved neonatal outcomes. This case supports the prolongation of the pregnancy of the second twin.

Keywords: Delayed delivery; Preterm; Twin pregnancy; pPROM

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