Successful treatment with home care during the second half of a twin pregnancy complicated by a short cervix: A case report

Authors

  • Mohammad Zarei MSc, Nursing Department, Shirvan Center of Higher Health Education, North Khorasan University of Medical Sciences, Bojnurd, Iran http://orcid.org/0000-0001-7294-2556
  • Tahereh Zahedifard MSc, Department of Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran
  • Reza Nori MSc, Department of Nursing, Bojnurd Branch, Islamic Azad University, Bojnurd, Iran

DOI:

https://doi.org/10.15419/bmrat.v5i02.419

Keywords:

Cervical cerclage, Cervix disorders, Home care, Pregnancy

Abstract

Introduction: Twin pregnancies are associated with a risk of premature delivery.

Case presentation: A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes. The patient received specialized bed rest and support, and the pregnancy was successfully completed at 36 weeks and 5 days.

Conclusion: In the second half of the pregnancy, due to the risk of emergency cervical cerclage, expectant management seems an appropriate and safe approach.

Author Biography

  • Tahereh Zahedifard, MSc, Department of Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran
    zahedit1395@gmail.com

References

Crowther, C. A., & Han, S. (2010). Hospitalisation and bed rest for multiple pregnancy. Cochrane Database of Systematic Reviews, 7(7), CD000110. PMID:20614420
Cunningham, Kenneth Leveno, Steven Bloom (2014) Williams Obstetrics. 24th ed. Newyork: Mc Graw Hill co.
Drife, J. (2015). Deep venous thrombosis and pulmonary embolism in obese women. Best Practice & Research. Clinical Obstetrics & Gynaecology, 29(3), 365–376. https://doi.org/10.1016/j.bpobgyn.2014.08.012 PMID:25457857
Maloni, J. A. (2010). Antepartum bed rest for pregnancy complications: Efficacy and safety for preventing preterm birth. Biological Research for Nursing, 12(2), 106–124. https://doi.org/10.1177/1099800410375978 PMID:20798159
Saccone, G., Rust, O., Althuisius, S., Roman, A., & Berghella, V. (2015). Cerclage for short cervix in twin pregnancies: Systematic review and meta-analysis of randomized trials using individual patient-level data. Acta Obstetricia et Gynecologica Scandinavica, 94(4), 352–358. https://doi.org/10.1111/aogs.12600 PMID:25644964
Skupski, D. W., Lin, S. N., Reiss, J., & Eglinton, G. S. (2014). Extremely short cervix in the second trimester: Bed rest or modified Shirodkar cerclage? Journal of Perinatal Medicine, 42(1), 55–59. https://doi.org/10.1515/jpm-2013-0092 PMID:23924522
Wong, G., Levine, D., & Ludmir, J. (1997). Maternal postural challenge as a functional test for cervical incompetence. Journal of Ultrasound in Medicine, 16(3), 169–175. https://doi.org/10.7863/jum.1997.16.3.169 PMID:9166812
Yazdani, S. H., Zynalzade, M., Bozari, Z., Habibi, S., & Moradi, M. (2013). The effect of cervical cerclage on prevention of preterm labor in twin pregnancy. [Persian.]. Majallah-i Zanan, Mamai va Nazai-i Iran, 16(62), 6–10.

Published

2018-03-02

Issue

Section

Case report

How to Cite

Successful treatment with home care during the second half of a twin pregnancy complicated by a short cervix: A case report. (2018). Biomedical Research and Therapy, 5(02), 2045-2049. https://doi.org/10.15419/bmrat.v5i02.419

Similar Articles

11-20 of 125

You may also start an advanced similarity search for this article.