The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2016
Outcome of dichorionic diamniotic twin pregnancies with spontaneous PPROM before 24 weeks' gestation.
СтатьяНазвание и аннотация: Перевод в очереди
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Wagner Philipp, Sonek Jiri, Mayr Stefanie, Abele Harald, Goelz Rangmar, Hoopmann Markus, Kagan Karl Oliver
Аннотация
OBJECTIVE: The objective of this study is to examine the outcome in dichorionic diamniotic twin pregnancies with rupture of membranes (PPROM) before 24 weeks' gestation.
MATERIAL AND METHODS: Retrospective analysis of fetal and neonatal outcomes in women with spontaneous PPROM before 24 weeks' gestation that were treated at a single tertiary center.
RESULTS: Twenty-nine pregnancies fulfilled the inclusion criteria. Mean gestational age at the time of PPROM was 20.4 weeks. Two women opted for termination. The remaining 27 (93.1%) women elected for expectant management. Ten (37.0%) of these delivered before 24 + 0 weeks' gestation. The median gestational age at the time of delivery in the remaining 17 (63%) cases was 26.4 weeks. In those patients that did not deliver within the first 5 days of PPROM, the chance of reaching 24 + 0 weeks was 85%. Co-twins that had PPROM compared with those without PPROM suffered more often from several neonatal complications. Overall, about 40% of the fetuses in the PPROM group and 70% of the non-PPROM group survived without major complications.
CONCLUSION: Dichorionic diamniotic twin pregnancies with PPROM prior to 24 + 0 weeks' gestation have a 60% chance of delivering at >24 weeks. Survival rates without major complications in twins with and without PPROM are 40% and 70%, respectively.
MATERIAL AND METHODS: Retrospective analysis of fetal and neonatal outcomes in women with spontaneous PPROM before 24 weeks' gestation that were treated at a single tertiary center.
RESULTS: Twenty-nine pregnancies fulfilled the inclusion criteria. Mean gestational age at the time of PPROM was 20.4 weeks. Two women opted for termination. The remaining 27 (93.1%) women elected for expectant management. Ten (37.0%) of these delivered before 24 + 0 weeks' gestation. The median gestational age at the time of delivery in the remaining 17 (63%) cases was 26.4 weeks. In those patients that did not deliver within the first 5 days of PPROM, the chance of reaching 24 + 0 weeks was 85%. Co-twins that had PPROM compared with those without PPROM suffered more often from several neonatal complications. Overall, about 40% of the fetuses in the PPROM group and 70% of the non-PPROM group survived without major complications.
CONCLUSION: Dichorionic diamniotic twin pregnancies with PPROM prior to 24 + 0 weeks' gestation have a 60% chance of delivering at >24 weeks. Survival rates without major complications in twins with and without PPROM are 40% and 70%, respectively.