DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER

Authors

  • Ana Galvão Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Daniela Gonçalves Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Ana Rocha Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Ana Rodrigues Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Graça Buchner Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Ana Cunha Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto
  • Jorge Braga Obstetrics Department of Centro Materno Infantil do Norte do Centro Hospitalar do Porto

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802

Keywords:

delivery–obstetric, twins, septic shock

Abstract

Delayed interval delivery is an option in the extremely preterm twin pregnancies, in an attempt to decrease morbidity for the remaining fetuses. We report a case of diamniotic dichorionic pregnancy complicated by premature rupture of membranes of the first fetus at 20 weeks gestation. Premature delivery of the first twin occured nine days latter. Delayed interval delivery of the second twin was attempted using bed rest, tocolysis and antibiotics. Unfortunately, 14 days later spontaneous labour ensued and the birth took place with the mother presenting signs of chorioamnionitis. Septic shock occurred in the mother, with need of mechanical ventilation and aminergic support. It seems to us that it is important to present unsuccessful cases like this in order to discuss what are the optimal management options, while there is no universal agreement on this issue.

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Published

2017-02-03

How to Cite

Galvão, A., Gonçalves, D., Rocha, A., Rodrigues, A., Buchner, G., Cunha, A., & Braga, J. (2017). DELAYED INTERVAL DELIVERY OF A SECOND TWIN RESULTING INSEPTIC SHOCK IN THE MOTHER. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 25(4), 241–243. https://doi.org/10.25753/BirthGrowthMJ.v25.i4.10802

Issue

Section

Case Reports

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