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TwinsFrom: SAVARIS@vortex.ufrgs.brWed Jun 19 10:32:37 1996
I would like to know your opion about a case at my duty last weekend. A 23 years old G2P0. Gestational age 24 weeks with premature labour. Dinamic 3/10 minutes strong, did not stop with Ritodrine (we dont use MgSO4). The cervix dilated til 7 cm. USound, 1st baby vertix/transv. Fetal weight #1- 800 g/#2- 1200g The second baby with Biophysic profile 5/8 with desacelerations type 2 and the first baby with biophysic profile 4/8 with desacelerations type 2 It is a twin pregnancy diaminiotic/dichorionic. My collegue gave corticoid and after 1 day performed BP profile and monitoring which is described above. He decided to perform a c-section. The outcome was bad. Baby #1 died at 5 minutes after delivery and baby #2 the day after. What are your opinion in this case, what would you do? Ricardo Savaris,MD savaris@vortex.ufrgs.br Porto Alegre-Brazil
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