Delayed delivery of twins: "Sister" died, "Brother" stayed in the belly for another 13 days
Xin'an Evening News Anhui Net Dawan Client News Recently, at the First Affiliated Hospital of Anhui Medical University, a pair of twins were supposed to be born. But at the end of last year, my mother unexpectedly suffered vaginal bleeding, and an ultrasound showed that one fetus was stillborn in utero. The obstetrician immediately tried a rescue plan and used a delayed delivery method to help the brother grow in the mother's womb for an additional 13 days before being successfully born. At present, the mother is recovering well postpartum and has been discharged from the hospital; under the careful care of the medical team, the newborn has been removed from the tube and resumed breathing on his own, and all vital signs are stable.
IVF twins "in danger"
Patient Tingting (pseudonym) had been infertile for many years after marriage. She tried IVF at the Reproductive Medicine Center of the First Affiliated Hospital of Anyi University and gave birth to twins. In early December 2017, Tingting unexpectedly suffered vaginal bleeding and went to the obstetrics clinic of the First Affiliated Hospital of An Medical University. The ultrasound showed that one fetus was alive, but the other was stillborn in utero, and the patient had symptoms of late threatened abortion. Tingting was immediately admitted to the hospital for miscarriage treatment. On December 22, 8 days after the miscarriage, the patient was 28 and 2 weeks pregnant. Due to premature rupture of membranes of a dead fetus, *** assisted in the delivery of a dead baby girl.
According to clinical experience and operating standards, after one twin is delivered, the other twin will be delivered as soon as possible. However, because surviving fetuses are precious, if a live fetus is delivered at this time, the fetus's gestational age will be small, the neonatal survival rate will be low, and the prognosis will be poor.
Xiaobao strives for "overtime"
After research, Liu Xiaojun and Sun Meiguo, chief physicians of the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Anyi University, decided to try to delay another fetal delivery to gain time to improve the quality of newborns. With the consent of her family, Liu Xiaojun immediately decided to give the pregnant woman uterine contraction suppression and anti-infective drugs and closely monitor her.
A miracle happened. Tingting's contractions gradually disappeared and her dilated cervix slowly closed. Subsequently, under the close supervision of all the medical staff of the Critical Care Obstetrics and Preservation Team (Obstetrics Ward 1) of the First Affiliated Hospital of An Medical University, Xiaobao stayed quietly in Tingting’s belly for another 13 days.