Clinical characteristics and outcome of twin gestation complicated by preterm premature rupture of the membranes

Article Abstract:

Management of twin pregnancies complicated by preterm premature rupture of fetal membranes may be different than for singleton (single fetus) pregnancies. Premature rupture of fetal membranes is one of the most common causes of preterm birth. Among 198 pregnancies complicated by premature rupture of fetal membranes, 99 were twin pregnancies and 99 were singleton pregnancies. The average time between rupture of membranes and delivery was one day for the twin pregnancies, compared with two days for the singleton pregnancies. Ninety-one percent of the twins were delivered within seven days of membrane rupture, compared with 90% of the singletons. There was no difference in the incidence of infection, umbilical cord prolapse or abruptio placentae between the twin pregnancies and the singleton pregnancies.

Management, Complications and side effects, Premature rupture of membranes, Premature rupture of the membrane, Multiple birth

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Neonatal outcome in severe preeclampsia at 24 to 36 weeks' gestation: does the HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome matter?

Article Abstract:

Pregnant women who develop the HELLP syndrome several weeks before their due date may not need to be delivered immediately. HELLP syndrome is a severe complication of pregnancy similar to preeclampsia. Many doctors believe in immediate delivery if a woman develops these conditions, even weeks before her due date. Researchers analyzed fetal outcome in 269 pregnant women who developed preeclampsia, partial HELLP syndrome or the full HELLP syndrome. Outcomes were similar in all three groups. Some doctors believe women with preeclampsia do not need immediate delivery and this may also be true of women with HELLP syndrome.

Health aspects, Prognosis, Infants (Newborn), Newborn infants, Preeclampsia

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The Maternal-Fetal Medicine Unit cesarean registry: Trial of labor with a twin gestation

Article Abstract:

The success rates and risks in women with a twin pregnancy who attempt a trial of labor after cesarean delivery are identified. A trial of labor with twins after previous cesarean delivery does not appear to increase maternal morbidity.

United States, Science & research, Research, Patient outcomes, Risk factors, Mothers, Vaginal birth after cesarean, Maternal mortality, Pregnancy, Multiple, Multiple pregnancy

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