[Birth delayed by 23 days after premature delivery in a triplet pregnancy obtained by in vitro fertilization].
At 26 weeks' gestation, the patient gave birth to 2 premature infants who did not survive. Following this delivery, under general anaesthesia and infusions of tocolytic drugs and antibiotics the uterus was washed with Ringer's lactate solution and cerclage of the cervix was performed after ligation and section of the two umbilical cord flush with the cervix. The "second delivery" was delayed by 3 weeks; the child weighed 1,150 grams at birth and survived. Six similar cases (including ours) have been published, and in each of them one living child was obtained. The above technique can therefore be recommended, in case of premature delivery before 28 weeks of gestation, for women with multiple pluriamniotic pregnancy.
Schaal
J P
JP
Clinique universitaire de Gynécologie, Obstétrique et de la Reproduction, Hôpital Saint-Jacques, Besançon.
Nirhy-Lanto
A R
AR
Legay
J P
JP
Menget
A
A
Schaal
E
E
Maillet
R
R
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D014310:Triplets
Naissance différée de 23 jours après un accouchement prématuré sur une grossesse triple obtenue par fécondation in vitro.