The Medical Journal of Malaysia 2019;74(1):85-86
Successful delayed-interval delivery in the presence of clinical chorioamnionitis in the leading twin: A report of two cases
Shobini Sukumaran 1 ; Devendra Kanagalingam 2
Affiliations
Country
Malaysia
Language
English
Abstract
We present two cases of diamniotic, dichorionic twin pregnancies in which after the loss of the first foetus in the setting of clinical chorioamnionitis, both pregnancies were successfully managed by delayed-interval delivery. A fourstage protocol including aspects of management in this specific setting is proposed. We consider the importance of a selection process when managing conservatively, measures to promote latency and decisions regarding delivery of the foetuses. Whilst we report successful case studies of conservative management with delayed-interval delivery, we support a cautious approach and understand that in the setting of clinical chorioamnionitis of the remaining foetus, delivery is necessary.
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