Abstract

Pregnancy in women with advanced maternal age following ovum donation is associated with significant maternal and fetal complications which lead to increased risks of prematurity and lower birth weight . A 57-year-old postmenopausal, nulliparous woman with dichorionic pregnancy who had conceived with ovum donation, presented with preterm labor at 26 weeks and 5 days of gestation. Following rupture of the membrane of the protruding sac and delivery of the first twin, an emergency cerclage with tocolytics, antibiotics and corticosteroid therapy was initiated in order to improve the perinatal outcome of the second twin. The cerclage suture was removed after 4 days due to increasing serum C-reactive protein levels and maternal moderate respiratory distress. Both of the neonates survived following hospitalization for 6 weeks in the neonatal intensive care unit. The management described in this case report suggest that delayed interval delivery may be safe for the mother and salvative for the fetus; but both parents and doctors must be realized about its benefits and risks. J Clin Gynecol Obstet. 2014;3(1):50-52 doi: http://dx.doi.org/ 10.14740 /jcgo45w

Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.