title: Delayed delivery of a twin - a hazard or an acceptable method? Prospective study.
abstract: OBJECTIVE
  To examine the possibility of postponement of the delivery of fetus B after preterm delivery or late abortion of fetus A in multiple pregnancy.
  
  
  METHODS
  Between January 2000 and September 2010, we tried to delay delivery of the second twin in 18 cases. Group A includes women that experienced a preterm premature rupture of the membranes in fetus A (PPROM), group B includes women who presented with regular uterine activity and the vaginal finding indicated unavoidable late miscarriage or preterm delivery.
  
  
  RESULTS
  Thirteen (72.22%) of the 18 attempts were evaluated as unsuccessful. The interval of delay of delivery of fetus B ranged between 24 and 384 hours. Five cases were successful.
  
  
  CONCLUSIONS
  Indication for applying this therapeutic procedure to a pregnant woman must be strictly selective. The procedure will be also in future more or less reserved for women in which subsequent pregnancy is for different reasons highly improbable.
authors.affiliation: Department of Obstetrics and Gynecology 2nd Medical Faculty Charles University and Teaching Hospital Motol, Prague, Czech Republic. blanka@vavrinkova.cz.
authors.forename: Blanka
authors.initials: B
authors.lastname: Vavrinkova
authors.forename: Tomas
authors.initials: T
authors.lastname: Binder
authors.forename: Radovan
authors.initials: R
authors.lastname: Vlk
authors.forename: Ivana
authors.initials: I
authors.lastname: Spalova
authors.forename: Olga
authors.initials: O
authors.lastname: Sebestova
authors.forename: Milos
authors.initials: M
authors.lastname: Cerny
mesh_terms: D000022:Abortion, Spontaneous; D036861:Delivery, Obstetric; D006801:Humans; D047928:Premature Birth; D011446:Prospective Studies; D014427:Twins