Successful treatment with home care during the second half of a twin pregnancy complicated by a short cervix: A case report
DOI:
https://doi.org/10.15419/bmrat.v5i02.419Keywords:
Cervical cerclage, Cervix disorders, Home care, PregnancyAbstract
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.
References
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.
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