Abstract

Case Report

Prolonged Latency in Previable PPROM in Twin Pregnancies: A Case Series

Neha Sahay*, Atia Aziz and SD Poddar and Suneeta Singh

Published: 18 October, 2024 | Volume 7 - Issue 4 | Pages: 107-111

Previable Preterm Premature Rupture of Membranes (PPROM) before 24 weeks of gestation in dichorionic diamniotic (DCDA) twin pregnancies is a rare and challenging obstetric complication. Three cases are presented in this case series, all involving prolonged latency periods of 74, 98, and 158 days following membrane rupture. The management strategy employed was expectant, utilizing antibiotic prophylaxis and close monitoring to prevent infection. Neonatal outcomes varied, with pulmonary hypoplasia and respiratory distress observed in some cases. One twin from Case 2 died due to sepsis, while the remaining twins in all three instances survived after extended neonatal intensive care. This series highlights the potential for extended latency and favorable outcomes in select cases, though neonatal morbidity remains a significant risk, underscoring the need for individualized counseling and vigilant care.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001174 Cite this Article Read Full Article PDF

Keywords:

Dichorionic diamniotic pregnancy; Pre-viable premature rupture of membranes; Chorioamnionitis; Pulmonary hypoplasia

References

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