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Am J Perinatol 2008; 25(9): 583-585
DOI: 10.1055/s-0028-1085627
© Thieme Medical Publishers

Dilation and Evacuation of a Single Fetus after Midtrimester PROM in Previable Twin Pregnancy

William J. Watson1 , Joseph Hwang2 , Brian C. Brost1
  • 1Maternal-Fetal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota
  • 2Maternal-Fetal Medicine, Perinatal Center of Iowa, Des Moines, Iowa
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Publication History

Publication Date:
28 August 2008 (online)

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ABSTRACT

Midtrimester premature rupture of membranes (PROM) is an unusual complication of multiple gestation that most often results in poor obstetric outcome. Presented are four cases of twin pregnancy complicated by preterm PROM and umbilical cord prolapse at 16 to 21 weeks' gestation. After a period of expectant management, dilation and evacuation of only the presenting fetus was performed with careful ultrasound guidance, to attempt delayed interval delivery. This resulted in pregnancy prolongation of 42 to 133 days for the remaining cotwins. Dilation and evacuation of a single demised fetus in twin pregnancy complicated by PROM and cord prolapse can be accomplished with favorable clinical outcome.

KEYWORDS

Twin pregnancy - premature rupture of membranes - umbilical cord prolapse - dilation and evacuation - delayed interval delivery

REFERENCES

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William J WatsonM.D. 

Maternal-Fetal Medicine, Mayo Clinic College of Medicine

200 First Street SW, Rochester, MN 55905

Email: watson.william@mayo.edu

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